DR. CAROLYN ALICE TYLENDA DMD
NPI 1811961493
Dentist in Ft Gordon, GA
About Dr. Carolyn Alice Tylenda Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROLYN ALICE TYLENDA DMD (NPI 1811961493) is an individual dentist in Ft Gordon, Georgia, licensed in Maryland (08166) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Carolyn Alice Tylenda Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carolyn Tylenda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FT GORDON, GA 30905
FORT GORDON, GA 30905
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 Carolyn Tylenda's NPI number?
The NPI number for Carolyn Tylenda is 1811961493. It was assigned to this individual provider in the NPPES registry on February 13, 2006.
Where is Carolyn Tylenda located?
Carolyn Tylenda practices at Bldg 38717 38th Street Usa Dentac, Ft Gordon, GA 30905. The listed phone number is (706) 787-6927.
What is Carolyn Tylenda's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Carolyn Tylenda enrolled in Medicare?
Yes. Carolyn Tylenda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carolyn Tylenda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Tylenda reassigns Medicare benefits to Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM). The 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 Carolyn Tylenda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carolyn Tylenda was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Carolyn Alice Tylenda, DMD · NPI 1811961493
Dentist provider in Ft Gordon, Georgia. Individual provider, active in the CMS NPPES registry since February 13, 2006.
## Identity
- **NPI:** 1811961493 (Entity type: Individual)
- **Enumerated:** February 13, 2006
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 08166 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** BLDG 38717 38TH STREET, USA DENTAC, Ft Gordon, GA 30905-5660
- **Phone:** (706) 787-6927 · **Fax:** (706) 787-2082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Dhhs,phs,naihs,gallup Indian Medical Center (NPI 1245409960, Gallup, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1811961493) · Data from the CMS NPPES public registry.