Individual provider Active NPI

Tyler Charles Greathouse, DO

  • Pulmonary Disease Physician
  • Nashville, TN
National Provider Identifier
1891256129
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
6158 Issued in TN
Practice address
4230 Harding Pike Ste 200
Nashville, TN 37205-2020
Phone
(615) 964-5864
Fax
(615) 269-7359
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 6158 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4230 Harding Pike Ste 200
Nashville, TN 37205-2020

Mailing address

4220 Harding Pike
Nashville, TN 37205-2005

Other practice location 1

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 964-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250708000990 TN Practitioner - Pulmonary Disease 1759624109 Reassigns benefits to 1 organization
I20250820003178 KY Practitioner - Pulmonary Disease 1759624109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

4230 Harding Pike
Suite 200
Nashville, TN 37205-2013
Phone (615) 964-5864

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Aug 1, 2025 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 5, 2026 Accepting new patients
Advanced Diagnostic Imaging, PC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Graves Gilbert Clinic PLLC Multi-Specialty CurrentSince Jan 5, 2026 Accepting new patients

Locations

1641 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 781-1772

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

4230 Harding Pike
Ste 200
Nashville, TN 37205
Phone (615) 964-5864

4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1891256129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 HARDING PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052020",
            "telephone_number": "615-964-5864",
            "fax_number": "615-269-7359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Harding Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052005",
            "country_code": "US",
            "telephone_number": "615-964-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREATHOUSE",
        "first_name": "TYLER",
        "middle_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "6158",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.