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TYLER OBSTETRICS AND GYNECOLOGY L L P
NPI 1265493266
Obstetrics & Gynecology in Tyler, TX

Active since March 29, 2006CLIA 45D0929014 · Microscopy
700 OLYMPIC PLAZA CIR, STE 602, TYLER, TX 75701(903) 593-2468(903) 595-4181 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler Obstetrics And Gynecology L L P NPPES

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

TYLER OBSTETRICS AND GYNECOLOGY L L P (NPI 1265493266) is a healthcare organization registered as an obstetrics & gynecology in Tyler, Texas and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through June 1, 2027 and lists Christha Bradley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265493266
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTYLER OBSTETRICS AND GYNECOLOGY L L P
Location Address700 OLYMPIC PLAZA CIR, STE 602Tyler, TX 75701-1951
Mailing Address700 Olympic Plaza Cir, Ste 602Tyler, TX 75701-1951 · (903) 593-2468 · Fax (903) 595-4181
Phone(903) 593-2468
Fax(903) 595-4181
Organization SubpartNo
Authorized OfficialChristha BradleyOffice Manager · (903) 593-2468
Enumeration DateMarch 29, 2006
Last NPPES UpdateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1265493266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
700 OLYMPIC PLAZA CIR, Tyler, TX 75701
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Other Identifiers 2

Other00U33BTX · Medicare
Medicaid085624701TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Obstetrics And Gynecology L L P is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tyler Obstetrics And Gynecology L L P, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Julie Ayala, D.O.
Obstetrics/Gynecology
NPI 1952750291
700 OLYMPIC PLAZA CIR STE 602
Tyler, TX 75701
(903) 593-2468
✔ PECOS✔ Accepts MedicareSame address
Jessica Charest, M.D.
Obstetrics/Gynecology
NPI 1093009185
700 OLYMPIC PLAZA CIR STE 602
Tyler, TX 75701
(903) 593-2468
✔ PECOS✔ Accepts MedicareSame address
Nancy Lieb, M.D.
Obstetrics/Gynecology
NPI 1538179122
700 OLYMPIC PLAZA CIR STE 602
Tyler, TX 75701
(903) 593-2468
✔ PECOS✔ Accepts MedicareSame address
Michelle Medel, M.D.
Obstetrics/Gynecology
NPI 1447517016
700 OLYMPIC PLAZA CIR STE 602
Tyler, TX 75701
(903) 593-2468
✔ PECOS✔ Accepts MedicareSame address
Marissa Kuykendall, CNM
Certified Nurse Midwife (CNM)
NPI 1992356588
928 N GLENWOOD BLVD
Tyler, TX 75702
(903) 535-9041
✔ PECOS✔ Accepts Medicare2.3 mi
Alexis Ward, WHNP
Nurse Practitioner
NPI 1346516309
7424 GREENVILLE AVE STE 206
Dallas, TX 75231
(214) 363-2004
✔ PECOS93 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0929014

Tyler Obstetrics & Gynecology, LLP · Tyler, TX
Active · expires Jun 1, 2027
CLIA Number45D0929014
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorJessica Charest
Laboratory Phone(903) 593-2468
Laboratory LocationTyler Obstetrics & Gynecology, LLP700 Olympic Plaza Circle Suite 602, Tyler, TX 75701
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Obstetrics And Gynecology L L P's NPI number?

The NPI number for Tyler Obstetrics And Gynecology L L P is 1265493266. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Tyler Obstetrics And Gynecology L L P located?

Tyler Obstetrics And Gynecology L L P is located at 700 Olympic Plaza Cir Ste 602, Tyler, TX 75701. The listed phone number is (903) 593-2468.

What is Tyler Obstetrics And Gynecology L L P's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tyler Obstetrics And Gynecology L L P enrolled in Medicare?

Yes. Tyler Obstetrics And Gynecology L L P is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tyler Obstetrics And Gynecology L L P?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Tyler Obstetrics And Gynecology L L P. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4), Certified Nurse Midwife (CNM) (1) and Nurse Practitioner (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tyler Obstetrics And Gynecology L L P hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0929014) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tyler Obstetrics And Gynecology L L P was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.