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

Individual provider Anesthesiologist Assistant · NPI 1992181275

Tyler Desper, CAA is an Anesthesiology Assistant in Fayetteville, Georgia. Qualified in 2015, 11 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment.

Years since qualifying
11
In the registry since
2015
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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1992181275
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 10, 2015
Mailing address1255 Highway 54 W, Fayetteville, GA 30214-4526

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville