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TAHIRAH A TYRELL MD
NPI 1669642237
Family Medicine in Orange Park, FL

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
20 BLANDING BLVD, ORANGE PARK, FL 32073(904) 773-8977(904) 773-8974 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2024, May 3, 2023 (2 updates tracked since 2023).

About Tahirah A Tyrell Md NPPES

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

TAHIRAH A TYRELL MD (NPI 1669642237) is an individual family medicine provider in Orange Park, Florida, licensed in Florida (ME115083) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1669642237
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTAHIRAH A TYRELLCredential: MD
Location Address20 BLANDING BLVDOrange Park, FL 32073-2235
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(904) 773-8977
Fax(904) 773-8974
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 10, 2008
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1669642237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME115083✔ Licensed in NY · 269460
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License ME115083 (FL)
20 BLANDING BLVD, Orange Park, FL 32073
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Other Names 1

Former Name (1)Tahirah A Tyrell Md

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

Tahirah A Tyrell Md 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 ID4385838325
PECOS Enrollment IDI20141021000519
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

LYNN MARIE HARPER-NIMOCK M.D.
Family Medicine
20 BLANDING BLVD
ORANGE PARK, FL 32073
Clay County (904) 773-8977
FRANCES MARIBEL GAUDIER-SCHMIDT DNP, AGPCNP-BC
Nurse Practitioner
20 BLANDING BLVD
ORANGE PARK, FL 32073
Clay County (904) 773-8977
MONICA M IMMORDINO NP
Nurse Practitioner (Gerontology)
20 BLANDING BLVD
ORANGE PARK, FL 32073
Clay County (904) 773-8977
DR. PHILIP TODD LINSKY DO
Family Medicine
20 BLANDING BLVD
ORANGE PARK, FL 32073
Clay County (904) 773-8977

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 Tahirah Tyrell's NPI number?

The NPI number for Tahirah Tyrell is 1669642237. It was assigned to this individual provider in the NPPES registry on March 10, 2008. The provider is also known as Tahirah A Tyrell MD.

Where is Tahirah Tyrell located?

Tahirah Tyrell practices at 20 Blanding Blvd, Orange Park, FL 32073. The listed phone number is (904) 773-8977.

What is Tahirah Tyrell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tahirah Tyrell enrolled in Medicare?

Yes. Tahirah Tyrell 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.

When was this NPI record last updated?

The NPPES record for Tahirah Tyrell was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.