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

Tyler Holt

Individual provider Surgical Physician Assistant · NPI 1336521079

Tyler Holt is a Physician Assistant in Maryville, Tennessee. Qualified in 2015, 11 years ago. Practices with Orthotennessee PC, a 154-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

827 E Lamar Alexander Pkwy
Maryville, TN 37804-5001
Phone: (865) 984-0900
Fax: (865) 984-1035
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2771 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2771 (TN)

Record details

NPI number1336521079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2015
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthotennessee Pc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Maryville