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

Tyler B Simonton, PA-C

Individual provider Physician Assistant · NPI 1740772250

Tyler B Simonton, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2018, 8 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Indiana and Maryland.

Years since qualifying
8
Licensed in
GA, IN, MD
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

222 W Michigan St
Indianapolis, IN 46204-1254
Phone: (317) 779-0303
Fax: (317) 737-2149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8500 Annapolis Rd Ste 100, New Carrollton, MD 20784 — (240) 667-2099

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003593A (IN)
Physician Assistant Taxonomy 363A00000X · Licence C0006830 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 12953 (GA)

Record details

NPI number1740772250
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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