Active NPI
Tyler Parent Martin, PA-C
- Physician Assistant
- Fort Pierce, FL
National Provider Identifier
1730755323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MPA.5748PA
- Practice address
- 2402 Frist Blvd Ste 102
Fort Pierce, FL 34950-4838 - Phone
- (772) 465-4651
- NPI assigned
- Jun 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9114555 | FL | |
| Surgical Physician Assistant | 363AS0400X | FL | ||
| Physician Assistant | 363A00000X | MPA.5748PA | SC | Primary |
Addresses
Primary practice location
2402 Frist Blvd Ste 102
Fort Pierce, FL 34950-4838
Mailing address
2006 13TH St
Vero Beach, FL 32960-3777
Phone (772) 453-4803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TYLER.MARTIN@hca4.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2402 Frist Blvd
Suite 102
Fort Pierce, FL 34950-4838
Phone (772) 465-4651
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.95 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5748 | SC | MD | Speech-Language Pathologist |
| MPA.5748PA | SC | MD | Physician Assistant |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- tyler.martin@hca4.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Fort Pierce, FL
- NPI 1639246234
-
- Dermatology Physician
- Sebastian, FL
- NPI 1255986113
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba Grand Strand Medical Center
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1730755323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 13TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603777",
"telephone_number": "772-453-4803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 FRIST BLVD STE 102",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504838",
"telephone_number": "772-465-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "TYLER",
"middle_name": "PARENT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-03",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114555",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "MPA.5748PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TYLER.MARTIN@hca4.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2402 Frist Blvd Ste 102",
"city": "Fort Pierce",
"state": "FL",
"country_code": "US",
"postal_code": "349504838",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.