Tyler Stanfield, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3911 Issued in TN

Practice address

181 S Y SQ
Selmer, TN 38375-1739

Phone

(731) 925-2300

NPI assigned

Jun 11, 2019

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hardin County Regional Health CenterGroup PAC ID 3779490776, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hardin Medical Center Hospital, Savannah, TN, CCN 440109
• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.stanfield.p1@direct.lifespanhealth.nextgenshare.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.

• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1184676157

  TN

  Medicare reassignment Care Compare group NPD
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1013509223
  Care Compare group NPD
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1003065772
  Care Compare group
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Clifton, TN
  • NPI 1063660595
  Care Compare group
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Adamsville, TN
  • NPI 1508292319
  Care Compare group
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Selmer, TN
  • NPI 1881247500
  Care Compare group

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

• Hardin County General Hospital

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812

  Hospital

  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1780243915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S Y SQ",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751739",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFIELD",
        "first_name": "TYLER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Smith, LMT
• Trista Lavonne Smith, OT
• Southern Mobility Specialists Inc
• Jessica Southers
• Sarah Stanfield, PHARMD
• State of Tennessee
• Anita Kay Stevens
• Vicki Leann Stout, PT
• Connie Stricklin, M.A., LPC
• T4T

• All providers in Selmer, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.