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

Tyler Holubar, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1770214116

Tyler Holubar, DPM is a Podiatry in Gainesville, Georgia. Qualified in 2022, 4 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
4
Licensed in
GA, IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1439 Jesse Jewell Pkwy SUITE102
Gainesville, GA 30501-8921
Phone: (770) 219-9320
Show map & directions

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

Additional practice locations (1)

  • 3700 Washington Ave, Evansville, IN 47714-0541 — (812) 485-4000

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence POD305067 (GA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 4100048A (IN)

Record details

NPI number1770214116
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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