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MR. TYLER DYLAN MCANALLY PHYSICIAN ASSISTANT
NPI 1083130850
Physician Assistant - Medical in North Little Rock, AR

Active since August 14, 2017PECOS Enrolled
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114(501) 257-1000(501) 257-2693 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2020, Jun 16, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Mr. Tyler Dylan Mcanally Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER DYLAN MCANALLY PHYSICIAN ASSISTANT (NPI 1083130850) is an individual medical provider in North Little Rock, Arkansas, licensed in Maine (PAN1744) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1083130850
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TYLER DYLAN MCANALLYCredential: PHYSICIAN ASSISTANT
Location Address2200 FORT ROOTS DRNorth Little Rock, AR 72114-1709
Mailing Address259 Mcanally DrSage, AR 72573-8858 · (870) 291-2153
Phone(501) 257-1000
Fax(501) 257-2693
Sole ProprietorNo
Enumeration DateAugust 14, 2017
Last NPPES UpdateJanuary 3, 20203 updates tracked since enumeration
✔ NPI 1083130850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ME · PAN1744
2200 FORT ROOTS DR, North Little Rock, AR 72114
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Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-0111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tyler Dylan Mcanally Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE DENISE MILLER DPT
Physical Therapist
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-3035
LINDSEY WYERICK
Nurse Practitioner (Acute Care)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-1000
CHARLOTTE MURRY NOLES APN
Nurse Practitioner (Gerontology)
2200 FORT ROOTS DR, EXTENDED CARE 1D (118/NLR)
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-2750
MR. JOHNNIE ROSS JR. L.C.S.W.
Social Worker (Clinical)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-3123
DR. SHELLY M SPOLLEN PHARMD
Pharmacist (Psychiatric)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-3175
ANGELA FRANCINE DOUGAN APN
Nurse Practitioner (Gerontology)
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-2730
CARRIE SAFFORD RD
Dietitian, Registered
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114
Pulaski County (607) 226-2221
DR. GLENN BRYAN SAXON OD
Optometrist
2200 FORT ROOTS DR, 16L/NLR
NORTH LITTLE ROCK, AR 72114
Pulaski County (501) 257-3719

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Mcanally's NPI number?

The NPI number for Tyler Mcanally is 1083130850. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Tyler Mcanally located?

Tyler Mcanally practices at 2200 Fort Roots Dr, North Little Rock, AR 72114. The listed phone number is (501) 257-1000.

What is Tyler Mcanally's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Mcanally enrolled in Medicare?

Yes. Tyler Mcanally is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Mcanally was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.