Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285020826 Individual Practitioner Male Practitioner

Charles Tyree , PA-C

Physician Assistant • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Charles Tyree, PA-C is a registered healthcare professional specializing in Physician Assistant in Roanoke, VA. Practice services are available at 21 HIGHLAND AVE SE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21 Highland Ave Se Ste 100

Roanoke, VA 240132218

Telephone 5403449213
Associated Practice Facility / Clinic
🏢 Physicians To Children, Inc. Facility NPI 1649362351

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
301 Specialists

Practicing in Roanoke, VA (4432 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110004896

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1285020826 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1003819574

Doctor of Medicine (M.D.)

NPI 1184837379

Doctor of Medicine (M.D.)

NPI 1285627067

Doctor of Medicine (M.D.)

NPI 1326629189

Doctor of Osteopathic Medicine (D.O.)

NPI 1407850241

Doctor of Medicine (M.D.)

NPI 1437153251

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 11, 2022

Registered at 21 HIGHLAND AVE SE STE 100, ROANOKE, VA 240132218 (Tel: 5403449213)

📍
Updated Business Mailing Address July 29, 2022

Registered at 21 HIGHLAND AVE SE STE 100, ROANOKE, VA 240132218

NPI Profile Active August 07, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 07, 2015

Registered at 1802 BRAEBURN DR, SALEM, VA 241537357 (Tel: 5407723580)

📍
Updated Business Mailing Address August 07, 2015

Registered at 1802 BRAEBURN DR, SALEM, VA 241537357 (Tel: 5407723580)

👤
Provider Name / Credentials Updated August 07, 2015

Recorded as CHARLES TYREE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2015

Physician Assistant (License #0110004896 in VA)

🟢
Initial NPI Registration & Enumeration April 10, 2015

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: 1285020826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2015
Last Update: September 29, 2022
Sole Proprietor: No

Mailing Address

21 Highland Ave Se Ste 100

Roanoke, VA 240132218

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.