LARRY TYLER SHEALY DNP MSN APRN
NPI 1699515809
Nurse Practitioner - Family in Greenville, SC

Q: What is Larry Shealy's NPI number?

The NPI number for Larry Shealy is 1699515809. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Q: What is Larry Shealy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Shealy was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 28, 2024PECOS Enrolled

8595 PELHAM RD STE 400, GREENVILLE, SC 29615(864) 316-8984(877) 337-6283 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2025, Aug 5, 2024 (2 updates tracked since 2024).

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About Larry Tyler Shealy Dnp Msn Aprn NPPES

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

LARRY TYLER SHEALY DNP MSN APRN (NPI 1699515809) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (29158) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699515809

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameLARRY TYLER SHEALYCredential: DNP MSN APRN

Location Address8595 PELHAM RD STE 400Greenville, SC 29615-5763

Mailing Address8595 Pelham Rd Ste 400Greenville, SC 29615-5763 · (864) 316-8984 · Fax (877) 337-6283

Phone(864) 316-8984

Fax(877) 337-6283

Sole ProprietorNo

Enumeration DateMay 28, 2024

Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1699515809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 29158✔ Licensed in GA · GAA-NP002518

8595 PELHAM RD STE 400, Greenville, SC 29615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry Tyler Shealy Dnp Msn Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29615 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 9

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

BERNADETTE ANNE LIM TAN MD

Family Medicine