Tyler Jetjomlong, MD
NPI 1275376360 · Emergency Medicine Physician · Augusta, GA
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Jetjomlong, MD is a Emergency Medicine Physician provider in Augusta, GA (NPI 1275376360).
Provider details
- NPI number
- 1275376360
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16450 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
- Certified
- 2024-06-17
Frequently asked questions
- What is Tyler Jetjomlong's NPI number?
- Tyler Jetjomlong's National Provider Identifier (NPI) is 1275376360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Jetjomlong's specialty?
- Tyler Jetjomlong is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tyler Jetjomlong located?
- Tyler Jetjomlong's practice location on file with NPPES is 1120 15th St, Augusta, GA 30912-0004.
- What is Tyler Jetjomlong's phone number?
- The practice phone number listed in the NPPES registry for Tyler Jetjomlong is (706) 721-0211.
- Does Tyler Jetjomlong accept Medicare?
- Tyler Jetjomlong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Jetjomlong's NPI active?
- Yes — Tyler Jetjomlong's NPI (1275376360) is active in the NPPES registry as of the last update on 2024-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.