TYLER KIAN OWENS PA-C
NPI 1477361244
Physician Assistant - Medical in Clemmons, NC

Active since December 24, 2024PECOS EnrolledAccepts Medicare Assignment
2554 LEWISVILLE CLEMMONS RD STE 209, CLEMMONS, NC 27012(336) 660-6000 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 10, 2025, Dec 24, 2024 (2 updates tracked since 2024).

About Tyler Kian Owens Pa-c NPPES

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

TYLER KIAN OWENS PA-C (NPI 1477361244) is an individual medical provider in Clemmons, North Carolina and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).

NPPES Registry Identity

NPI1477361244
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTYLER KIAN OWENSCredential: PA-C
Location Address2554 LEWISVILLE CLEMMONS RD STE 209Clemmons, NC 27012-8749
Mailing Address2554 Lewisville Clemmons Rd Ste 209Clemmons, NC 27012-8749
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2024
Enumeration DateDecember 24, 2024
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1477361244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0010-15027 (NC)
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 0010-15027 (NC)
2554 LEWISVILLE CLEMMONS RD STE 209, Clemmons, NC 27012

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 Kian Owens Pa-c 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 ID2961926241
PECOS Enrollment IDI20250408002286
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 7

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

Psychiatry & Neurology (Psychiatry)
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012
Physician Assistant
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012
Physician Assistant
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012
Physician Assistant
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012
Psychiatry & Neurology (Psychiatry)
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012
Physician Assistant
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012
Counselor (Mental Health)
2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC 27012

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 Owens's NPI number?

The NPI number for Tyler Owens is 1477361244. It was assigned to this individual provider in the NPPES registry on December 24, 2024.

Where is Tyler Owens located?

Tyler Owens practices at 2554 Lewisville Clemmons Rd Ste 209, Clemmons, NC 27012. The listed phone number is (336) 660-6000.

What is Tyler Owens's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Owens enrolled in Medicare?

Yes. Tyler Owens 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 Owens accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tyler Owens 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.

When was this NPI record last updated?

The NPPES record for Tyler Owens was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.