MR. TYRONE G ROBERSON SR. AGPCNP-BC
NPI 1134428923
Nurse Practitioner in Columbia, SC

Active since March 20, 2011
6439 GARNERS FERRY, COLUMBIA, SC 29209(803) 776-4000 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Tyrone G Roberson Sr. Agpcnp-bc NPPES

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

MR. TYRONE G ROBERSON SR. AGPCNP-BC (NPI 1134428923) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (19344) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1134428923
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. TYRONE G ROBERSON SR.Credential: AGPCNP-BC
Location Address6439 GARNERS FERRYColumbia, SC 29209
Mailing Address6439 Garners FerryColumbia, SC 29209 · (803) 776-4000
Sole ProprietorNo
Enumeration DateMarch 20, 2011
Last NPPES UpdateSeptember 1, 2016
NPI 1134428923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SC · 19344
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 69630 (SC)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License PR27111 (SC)
6439 GARNERS FERRY, Columbia, SC 29209

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 Tyrone Roberson's NPI number?

The NPI number for Tyrone Roberson is 1134428923. It was assigned to this individual provider in the NPPES registry on March 20, 2011.

Where is Tyrone Roberson located?

Tyrone Roberson practices at 6439 Garners Ferry, Columbia, SC 29209. The listed phone number is (803) 776-4000.

What is Tyrone Roberson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Tyrone Roberson was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.