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

Kacy Jo Griffith Tyner, CRNP

Individual provider Registered Nurse · NPI 1215688627

Kacy Jo Griffith Tyner, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2023, 3 years ago. Practices with Cahaba Medical Care Foundation, a 100-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

873 Dennison Ave SW Ste 102
Birmingham, AL 35211-3867
Phone: (205) 774-3309
Fax: (205) 316-7675
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-176450 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-176450 (AL)

Record details

NPI number1215688627
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedJanuary 17, 2022
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cahaba Medical Care Foundation — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Birmingham