CHARLES TYREE PA-C
NPI 1285020826
Physician Assistant in Roanoke, VA

Active since April 10, 2015
21 HIGHLAND AVE SE STE 100, ROANOKE, VA 24013(540) 344-9213 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Aug 11, 2022, Jul 29, 2022 and 1 more (4 updates tracked since 2022).

About Charles Tyree Pa-c NPPES

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

CHARLES TYREE PA-C (NPI 1285020826) is an individual physician assistant in Roanoke, Virginia, licensed in Virginia (0110004896) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1285020826
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES TYREECredential: PA-C
Location Address21 HIGHLAND AVE SE STE 100Roanoke, VA 24013-2218
Mailing Address21 Highland Ave Se Ste 100Roanoke, VA 24013-2218
Sole ProprietorNo
Enumeration DateApril 10, 2015
Last NPPES UpdateSeptember 29, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1285020826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110004896
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21 HIGHLAND AVE SE STE 100, Roanoke, VA 24013

Other Identifiers 1

Medicaid1285020826VA

Other Providers at the Same Location NPPES 5

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

Pediatrics
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013
Pediatrics
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013
Nurse Practitioner (Women's Health)
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013
Pediatrics
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013
Pediatrics
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013

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 Charles Tyree's NPI number?

The NPI number for Charles Tyree is 1285020826. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Charles Tyree located?

Charles Tyree practices at 21 Highland Ave SE Ste 100, Roanoke, VA 24013. The listed phone number is (540) 344-9213.

What is Charles Tyree's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Charles Tyree was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.