TYLER WACK (MS, ATC) – Athletic Trainer, NPI 1396264701

TYLER WACK (MS, ATC) is a healthcare provider. based in Evans, Georgia. specializing in Athletic Trainer. They hold the professional credentials MS, ATC. The NPI Number for TYLER WACK (MS, ATC) is 1396264701

Main info

Male
Name
TYLER WACK (MS, ATC)
NPI
1396264701
Phone
(803) 457-3722
Address
4377 ROXBURY DR
Enumeration Date
18 September 2017
Last Update Date
31 January 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for TYLER WACK (MS, ATC)

  • 4377 ROXBURY DR

    EVANS, GA 308093249

    Phone: (803) 457-3722

    Type: Mailing

  • 125, Wigmore Lane, Lexington County, South Carolina, 29072, United States

    LEXINGTON, SC 290727784

    Phone: (803) 457-3722

    Type: Mailing

  • 2150 DISCOVERY DR

    APPLING, GA 308020078

    Phone: (888) 280-4331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30809)

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Reviews

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Frequently asked questions

What NPI should I save for TYLER WACK (MS, ATC)?
Save NPI 1396264701 if you need a stable reference for TYLER WACK (MS, ATC).
Is TYLER WACK (MS, ATC)'s NPI currently valid?
The extract we use shows TYLER WACK (MS, ATC) as active.
Does TYLER WACK (MS, ATC) list a primary specialty?
If you are matching referrals, note Athletic Trainer for TYLER WACK (MS, ATC). Clinical services aligned with this taxonomy classification.
What location metadata exists for TYLER WACK (MS, ATC)?
The page summarizes Evans, Georgia for TYLER WACK (MS, ATC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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