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TYLOR JORDAN TABIT DO
NPI 1215614045
Student in an Organized Health Care Education/Training Program in Beckley, WV

Active since July 03, 2023PECOS Enrolled
252 RURAL ACRES DR, BECKLEY, WV 25801(304) 252-8555 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tylor Jordan Tabit Do NPPES

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

TYLOR JORDAN TABIT DO (NPI 1215614045) is an individual student in an organized health care education/training program in Beckley, West Virginia, licensed in West Virginia (ED1229) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Raleigh General Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1215614045
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLOR JORDAN TABITCredential: DO
Location Address252 RURAL ACRES DRBeckley, WV 25801-3503
Mailing Address252 Rural Acres DrBeckley, WV 25801-3503 · (304) 252-8555
Phone(304) 252-8555
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2023
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1215614045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WV · ED1229
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
252 RURAL ACRES DR, Beckley, WV 25801
Open in Google Maps ↗

Other Names 1

Former Name (1)Tylor Jordan Lies-tabit

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tylor Jordan Tabit Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840645164
PECOS Enrollment IDI20250922000189
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

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.

ELIZABETH BAKER
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 252-8324
JONATHAN EVANS
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (412) 722-4232
RAECHAL ANN CHILDERS D.O.
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 252-8324
DR. NATALIE PAIGE COCHRAN PHARMD
Pharmacist
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 252-8324
KYLE M MUSCARI DO
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 258-2832
SHANE HARLESS DO
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 255-8551
COMMUNITY HEALTH SYSTEMS, INC.
Pharmacy (Clinic Pharmacy)
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 255-6800
DR. JOHNNY G WALKER III MD
Family Medicine
252 RURAL ACRES DR
BECKLEY, WV 25801
Raleigh County (304) 252-8555

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 Tylor Tabit's NPI number?

The NPI number for Tylor Tabit is 1215614045. It was assigned to this individual provider in the NPPES registry on July 3, 2023. The provider is also known as Tylor Jordan Lies-Tabit.

Where is Tylor Tabit located?

Tylor Tabit practices at 252 Rural Acres Dr, Beckley, WV 25801. The listed phone number is (304) 252-8555.

What is Tylor Tabit's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tylor Tabit enrolled in Medicare?

Yes. Tylor Tabit is registered in the Medicare PECOS enrollment system.

Is Tylor Tabit affiliated with any hospitals?

According to CMS data, Tylor Tabit is affiliated with Raleigh General Hospital.

When was this NPI record last updated?

The NPPES record for Tylor Tabit was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.