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

Mr. Tyrone G Roberson Sr., AGPCNP-BC

Individual provider Emergency Registered Nurse · NPI 1134428923

Mr. Tyrone G Roberson Sr., AGPCNP-BC is an Emergency Registered Nurse in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2011.

Licensed in
SC
In the registry since
2011
Specialties on file
3

Practice location Address checks out

6439 Garners Fry
Columbia, SC 29209
Phone: (803) 776-4000
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 19344 (SC)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 69630 (SC)
Licensed Practical Nurse Taxonomy 164W00000X · Licence PR27111 (SC)

Record details

NPI number1134428923
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMarch 20, 2011
Last updated in NPPESSeptember 1, 2016

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