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DR. TYLER MCKAYLEN HARLESS DO
NPI 1164169686
General Practice in Meridian, MS

Active since May 16, 2022PECOS Enrolled
1801 FULLER RD, MERIDIAN, MS 39309(601) 679-2208 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Nov 21, 2022, May 16, 2022 (3 updates tracked since 2022).

About Dr. Tyler Mckaylen Harless Do NPPES

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

DR. TYLER MCKAYLEN HARLESS DO (NPI 1164169686) is an individual general practice provider in Meridian, Mississippi, licensed in Mississippi (32459) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164169686
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. TYLER MCKAYLEN HARLESSCredential: DO
Location Address1801 FULLER RDMeridian, MS 39309-2111
Mailing Address1801 Fuller RdMeridian, MS 39309-5106 · (601) 679-2208
Phone(601) 679-2208
Sole ProprietorNo
Enumeration DateMay 16, 2022
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1164169686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MS · 32459
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1801 FULLER RD, Meridian, MS 39309
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Mckaylen Harless Do 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 13

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

MR. CHRISTOPHER ROBERT SHARPE PA-C
Physician Assistant
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (601) 679-3967
MRS. AMY N NICHOLAS LPN/BHT
Behavior Technician
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (601) 679-2240
ALISHA DAWN MARLOW PH.D
Psychologist
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (601) 679-3969
MILLI M FLOYD R.PH.
Pharmacist
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (601) 679-2243
RYAN SCOTT CARNEGIE DO
Family Medicine
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (601) 679-2210
BENJAMIN CHRISTOPHER OZIEMKIEWICZ DDS
Dentist (General Practice)
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (601) 679-2383
BRANCH MEDICAL CLINIC MERIDIAN
Clinic/Center (Military/U.S. Coast Guard Outpatient)
1801 FULLER RD
MERIDIAN, MS 39309
Lauderdale County (850) 505-6157
DR. JAMES EUGENE CLARK D.D.S.
Dentist (General Practice)
1801 FULLER RD, SUITE D-18
MERIDIAN, MS 39309
Lauderdale County (601) 679-2383

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 Harless's NPI number?

The NPI number for Tyler Harless is 1164169686. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Tyler Harless located?

Tyler Harless practices at 1801 Fuller Rd, Meridian, MS 39309. The listed phone number is (601) 679-2208.

What is Tyler Harless's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tyler Harless enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Harless was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.