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Active NPI 1255394979 Individual Practitioner Female Practitioner

Heather F Tyre , PA-C

Physician Assistant • Jesup, GA

Professional Overview & Biography Verified Profile Summary

Heather Tyre, PA-C is a registered healthcare professional specializing in Physician Assistant in Jesup, GA. Practice services are available at 980 SOUTH 1ST STREET under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

980 South 1st Street

Jesup, GA 31545

Telephone 9124274267
Fax 9125592638

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jesup, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Jesup, GA (4726 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
209 37 $5.38 $5.09
99213 Established patient office or other outpatient visit, typically 15 minutes
90 86 $75.05 $72.47
17000 Destruction of skin growth
51 50 $54.94 $46.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
50 49 $106.41 $102.95
11102 Tangential biopsy of single skin lesion
41 39 $82.34 $72.02
17004 Destruction of precancer skin growth, 15 or more growths
39 39 $138.04 $130.67
11103 Biopsy of related skin growth, each additional growth
25 14 $44.28 $39.03

Medical Specialties & State Licenses

CMS Verified: 2022-03-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 004357

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License GA 004357

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License GA 004357

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
541791446 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated March 09, 2022

Recorded as HEATHER TYRE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Physician Assistant (License #004357 in GA)

NPI Profile Active May 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2015

Registered at 980 SOUTH 1ST STREET, JESUP, GA 31545 (Tel: 9124274267)

📍
Updated Business Mailing Address May 01, 2015

Registered at 2400 BELLEVUE ROAD, SUITE 21-A, DUBLIN, GA 31021 (Tel: 4782757202)

👤
Provider Name / Credentials Updated May 01, 2015

Recorded as HEATHER NESMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2015

Physician Assistant (License #004357 in GA)

🟢
Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255394979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: March 09, 2022
Sole Proprietor: No

Mailing Address

2400 Bellevue Road, Suite 21-A

Dublin, GA 31021

Phone: 4782757202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.