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

Dr. Tyler Keith Wilson, DO

Individual provider Psychiatry Physician · NPI 1659931475

Dr. Tyler Keith Wilson, DO is a Psychiatry Physician in Johnson City, Tennessee. Works from 3 locations. Licensed in South Carolina and Tennessee.

Licensed in
SC, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

701 Med Tech Pkwy Ste 200
Johnson City, TN 37604-2371
Phone: (423) 302-3480
Fax: (423) 833-0639
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Additional practice locations (2)

  • 701 Med Tech Pkwy Ste 201, Johnson City, TN 37604-2365 — (423) 302-3480
  • 403 N State Of Franklin Rd, Johnson City, TN 37604-6034 — (423) 431-7111

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 5746 (TN)
Psychiatry Physician Taxonomy 2084P0800X · Licence LL82221 (SC)

Record details

NPI number1659931475
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2019
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

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