Individual provider Active NPI

Tyler Cole, DNP

  • Primary Care Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1982086369
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN261508 Issued in GA
Practice address
3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879
Phone
(912) 419-5148
NPI assigned
Jun 23, 2015
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19514 SC
Primary Care Nurse Practitioner 363LP2300X RN261508 GA Primary

Addresses

Primary practice location

3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879

Mailing address

3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879
Phone (912) 419-5148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20221005003762 GA Practitioner - Nurse Practitioner 8921317272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expand Health, LLCGroup PAC ID 7012393531, 4 clinicians

Practice addresses (Care Compare)

3441 Cypress Mill Rd
Suite 101
Brunswick, GA 31520-2879
Phone (912) 419-5148

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Expand Health, LLC CurrentSince Sep 12, 2022 Accepting new patients

Locations

3441 Cypress Mill Rd
Ste 101
Brunswick, GA 31520
Phone (912) 419-5148

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27218/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tyler.cole@cchs.gadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1982086369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 CYPRESS MILL RD STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202879",
            "telephone_number": "912-419-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 CYPRESS MILL RD STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202879",
            "telephone_number": "912-419-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "TYLER",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19514",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN261508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.