TYLER GRESHAM
NPI 1215707336
Physician Assistant - Surgical in Panama City, FL

Active since January 09, 2024PECOS EnrolledAccepts Medicare Assignment
801 E 6TH ST STE 505, PANAMA CITY, FL 32401(850) 804-3845 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Gresham NPPES

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

TYLER GRESHAM (NPI 1215707336) is an individual surgical provider in Panama City, Florida, licensed in Florida (PA9121054) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215707336
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTYLER GRESHAM
Location Address801 E 6TH ST STE 505Panama City, FL 32401-3663
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 9, 2024
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
NPI 1215707336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9121054
801 E 6TH ST STE 505, Panama City, FL 32401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler Gresham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638662562
PECOS Enrollment IDI20251201000209
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 2

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
801 E 6TH ST STE 505
PANAMA CITY, FL 32401

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 Gresham's NPI number?

The NPI number for Tyler Gresham is 1215707336. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Tyler Gresham located?

Tyler Gresham practices at 801 E 6th St Ste 505, Panama City, FL 32401. The listed phone number is (850) 804-3845.

What is Tyler Gresham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tyler Gresham enrolled in Medicare?

Yes. Tyler Gresham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Gresham accept?

Health plans from Blue Cross and Blue Shield of Alabama list Tyler Gresham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tyler Gresham affiliated with any hospitals?

According to CMS data, Tyler Gresham is affiliated with Sacred Heart Hospital and Ascension Sacred Heart Bay.

When was this NPI record last updated?

The NPPES record for Tyler Gresham was last updated on February 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.