Individual provider Active NPI

Tylicia A Freeman, NP

  • Nurse Practitioner
  • Walterboro, SC
National Provider Identifier
1912626607
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1214051 Issued in TX
Practice address
1515 Bells Hwy
Walterboro, SC 29488-2517
Phone
(843) 538-6240
NPI assigned
Aug 25, 2022
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1214051 TX Primary
Nurse Practitioner 363L00000X 26341 SC

Addresses

Primary practice location

1515 Bells Hwy
Walterboro, SC 29488-2517

Mailing address

1658 Hutchinson Ave Unit B
Charleston, SC 29404-5303

Other names 1

  • Tylicia Tealer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230706002704 SC Practitioner - Nurse Practitioner 6800255019 Reassigns benefits to 1 organization
I20251107002630 TX Practitioner - Nurse Practitioner 6800255019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

7555 NW Loop
410 Suite 114
San Antonio, TX 78245-2354
Phone (210) 520-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1214051TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. CurrentSince Oct 27, 2025 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Sep 9, 2023 Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

7555 NW Loop 410
Ste 114
San Antonio, TX 78245
Phone (210) 520-8070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1912626607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 HUTCHINSON AVE UNIT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294045303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882517",
            "telephone_number": "843-538-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TYLICIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1214051",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "26341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLICIA",
            "last_name": "TEALER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.