Larry Tyler Shealy, DNP MSN APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29158 Issued in SC

Practice address

8595 Pelham Rd Ste 400
Greenville, SC 29615-5763

Phone

(864) 316-8984

Fax

(877) 337-6283

NPI assigned

May 28, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: larry.shealy.1@18348.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Careconnectmd South Carolina P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Mt Pleasant, SC
  • NPI 1306565973

  SC

  Medicare reassignment NPD
• Physicians Services Group, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1700357076

  SC

  Medicare reassignment NPD
• Psgsc MSSP, P.C.

  • Multi-Specialty Clinic/Center
  • Greenville, SC
  • NPI 1417839754

  SC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1699515809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 PELHAM RD STE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155763",
            "telephone_number": "864-316-8984",
            "fax_number": "877-337-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PELHAM RD STE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155763",
            "telephone_number": "864-316-8984",
            "fax_number": "877-337-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "LARRY",
        "middle_name": "TYLER",
        "credential": "DNP MSN APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lynn Shay, PMHNP-BC
• Chanell Nicole Shea
• Caitlin Renee Shealy, MMFT, LMFT
• Hannah Shealy, RBT
• Jonah Shealy
• Mary R Shealy, CRNA
• Kristen Pettis Sheets, M.D.
• Leslie Michelle Sheffield
• Tessa Ann Shelburne, FNP-C
• Phyllis C Sheldon

• All providers in Greenville, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.