Tyler Shack, M.D.
NPI 1386105815 · Anesthesiology Physician · Jackson, MS
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Shack, M.D. is a Anesthesiology Physician provider in Jackson, MS (NPI 1386105815).
Provider details
- NPI number
- 1386105815
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 33326 (MS)
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
7 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
- 2019-03-27
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Frequently asked questions
- What is Tyler Shack's NPI number?
- Tyler Shack's National Provider Identifier (NPI) is 1386105815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Shack's specialty?
- Tyler Shack is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Tyler Shack located?
- Tyler Shack's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is Tyler Shack's phone number?
- The practice phone number listed in the NPPES registry for Tyler Shack is (601) 984-5914.
- Does Tyler Shack accept Medicare?
- Tyler Shack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Shack's NPI active?
- Yes — Tyler Shack's NPI (1386105815) is active in the NPPES registry as of the last update on 2025-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.