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

Tyler Gresham

Individual provider Surgical Physician Assistant · NPI 1215707336

Tyler Gresham is a Physician Assistant in Panama City, Florida. Qualified in 2023, 3 years ago. Practices with Sacred Heart Health System Inc, a 373-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024

Practice location Address checks out

801 E 6th St Ste 505
Panama City, FL 32401-3663
Phone: (850) 804-3845
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9121054 (FL)

Record details

NPI number1215707336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2024
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sacred Heart Health System Inc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Panama City