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

Tyler Alexander Southern, PA

Individual provider Physician Assistant · NPI 1326699745

Tyler Alexander Southern, PA is a Physician Assistant in Bermuda Run, North Carolina. Graduated from Emory University School of Medicine in 2020, 6 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
6
Trained at
Emory University School of Medicine
Licensed in
NC
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

152 E Kinderton Way Ste 101
Bermuda Run, NC 27006-7351
Phone: (336) 893-3180
Fax: (336) 893-3189
Show map & directions

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

Additional practice locations (1)

  • 731 Dogwood Rd, Asheville, NC 28806-0366 — (828) 210-9300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11440 (NC)

Record details

NPI number1326699745
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Bermuda Run