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

Tyler Raeford

Individual provider Family Medicine Physician · NPI 1972243137

Tyler Raeford is a Family Practice in Seneca, South Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 2022, 4 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
SC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

11082 N Radio Station Rd
Seneca, SC 29678-1142
Phone: (864) 882-2314
Fax: (864) 882-3677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 139 Lila Doyle Dr, Seneca, SC 29672-9495 — (864) 482-3493

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 94696 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL87633 (SC)

Record details

NPI number1972243137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address300 E McBee Ave Ste 300, Greenville, SC 29601-2899

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Seneca