Dr Larry Tyler Shealy, DNP MSN APRN is a
Nurse Practitioner - Family based in Graniteville, South Carolina. Dr Larry Tyler Shealy is licensed to practice in South Carolina (license number 29158) and his current practice location is
626 Wade Way, Graniteville, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 645-4339.
NPI number for Dr Larry Tyler Shealy is 1699515809 and his current mailing address is 626 Wade Way, Graniteville, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699515809.
Provider's Profile
Full Name | Dr Larry Tyler Shealy |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 626 Wade Way, Graniteville, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699515809
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 08/05/2024
Medical Identifiers
Medical identifiers for Dr Larry Tyler Shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699515809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN266557 (Georgia) | Secondary |
163W00000X | Registered Nurse | 269039 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 29158 (South Carolina) | Primary |
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. Dr Larry Tyler Shealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Larry Tyler Shealy, DNP MSN APRN 626 Wade Way, Graniteville, SC 29829-4124 Ph: (803) 645-4339 | Dr Larry Tyler Shealy, DNP MSN APRN 626 Wade Way, Graniteville, SC 29829-4124 Ph: (803) 645-4339 |
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