Tyler Russell Purvis, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Perry, Georgia. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Privia Medical Group Of Georgia Llc and his current practice location is
110 Kellwood Dr Ste 220a, Perry, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 300-7020.
Tyler Russell Purvis is licensed to practice in Georgia (license number 92587) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164996104.
Physician's Profile
| Full Name | Tyler Russell Purvis |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 6 Years |
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| Location | 110 Kellwood Dr Ste 220a, Perry, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tyler Russell Purvis graduated from medical school in 2019
NPI Data:
- NPI Number: 1164996104
- Provider Enumeration Date: 01/13/2019
- Last Update Date: 11/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991035628
- Enrollment ID: I20230912003084
Medical Identifiers
Medical identifiers for Tyler Russell Purvis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164996104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 92587 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler Russell Purvis allows following entities to bill medicare on his behalf.
| Entity Name | Privia Medical Group Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
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| Entity Name | Resilient Minds Psychiatric Care Of Middle Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871272765 PECOS PAC ID: 7012379423 Enrollment ID: O20230817000773 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Russell Purvis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tyler Russell Purvis, MD 110 Kellwood Dr Ste 220a, Perry, GA 31069-3263 Ph: (478) 300-7020 | Tyler Russell Purvis, MD 110 Kellwood Dr Ste 220a, Perry, GA 31069-3263 Ph: (478) 300-7020 |
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