Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charley Tyre, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1609204585

Charley Tyre, NP-C is a Nurse Practitioner in Grimesland, North Carolina. Qualified in 2013, 13 years ago. Practices with Outer Banks Professional Services, LLC, a 162-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2627 Winding Cv
Grimesland, NC 27837-8612
Phone: (252) 217-8288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5006569 (NC)

Record details

NPI number1609204585
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 31, 2013
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing addressPo Box 333, Manns Harbor, NC 27953-0333

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Outer Banks Professional Services, Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare