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

Tyler Martin

Individual provider Physician Assistant · NPI 1649524455

Tyler Martin is a Physician Assistant in Charleston, South Carolina. Qualified in 2012, 14 years ago. Practices with Medcare Express - North Charleston LLC, a 69-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2012
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Practice location Address checks out

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone: (843) 402-1037
Fax: (843) 402-1295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8740 Rivers Ave, North Charleston, SC 29406-9211 — (843) 572-5990

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1868 (SC)

Record details

NPI number1649524455
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2012
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Medcare Express - North Charleston Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Charleston