Tyler Branscum, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6050 Issued in TN

Practice address

3959 Highway 411
Madisonville, TN 37354-4417

Phone

(423) 442-2121

Fax

(423) 545-9556

NPI assigned

Feb 27, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madisonville Primary Care Group PLLCGroup PAC ID 6507037645, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Madisonville Primary Care Group PLLC

  dba United Primary Care

  • Rural Health Clinic/Center
  • Madisonville, TN
  • NPI 1861780496
  Medicare reassignment Care Compare group
• Madisonville Primary Care Group PLLC

  dba United Primary Care Athens

  • Rural Health Clinic/Center
  • Athens, TN
  • NPI 1326768870
  NPD
• Madisonville Primary Care Group PLLC

  dba United Primary Care Etowah

  • Rural Health Clinic/Center
  • Etowah, TN
  • NPI 1780304238
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Athens Regional Medical Center LLC

  dba Starr Regional Medical Center

  • General Acute Care Hospital
  • Athens, TN
  • NPI 1669567319
  Care Compare affiliation

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1730945775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377630808",
            "telephone_number": "423-442-2121",
            "fax_number": "423-545-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373544417",
            "telephone_number": "423-442-2121",
            "fax_number": "423-545-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCUM",
        "first_name": "TYLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "6050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Lorreen Bond, LMT
• Kelsey Boring, SLP
• Linda W Boyatt, ARNP
• Valerie Boyd, DIS
• William Paul Brakebill Jr., DDS
• Christin Breeding, PA-C
• Mark A Britton, DDS
• Douglas Brooks, PHARMD
• Justin Brown, PT
• Lora Cathryn Brown, BS

• Medical Physician Assistant in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.

Verify at the official NPI Registry.