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

Tyler Andrew Suddarth

Individual provider Registered Nurse · NPI 1629628896

Tyler Andrew Suddarth is a Certified Registered Nurse Anesthetist (CRNA) in Plantation, Florida. Qualified in 2019, 7 years ago. Practices with South Georgia Anesthesia Associates, PC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

7700 W Sunrise Blvd
Plantation, FL 33322-4113
Phone: (954) 939-6852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11005496 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN9394983 (FL)

Record details

NPI number1629628896
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 18, 2019
Last updated in NPPESSeptember 10, 2021
Certification dateJuly 20, 2021
Mailing address302 Midland Pl, Cairo, GA 39828-7604

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice South Georgia Anesthesia Associates, Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plantation