Tyler Pivatchai Jetjomlong, MD
Emergency Medicine Physician · Augusta, GA
Tyler Pivatchai Jetjomlong, MD is an emergency medicine physician with a practice address in Augusta, Georgia, and NPI 1275376360, issued on Jun 17, 2024. Check the license (Georgia 16450, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Tyler Pivatchai Jetjomlong
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- 16450 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1120 15TH St, Augusta, GA 30912
- Phone
- (706) 721-0211
- Enumerated
- Jun 17, 2024
- Record last updated
- Jun 17, 2024
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 1,685 in Georgia → Look up another NPI →
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Verify Tyler Pivatchai Jetjomlong in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 16450Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average emergency medicine physician in 2024
21 Medicare Part D claims for 19 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Tyler Pivatchai Jetjomlong among 1,685 emergency medicine physician records in Georgia
Tyler Pivatchai Jetjomlong, MD is one of 1,685 emergency medicine physician records with a practice address in Georgia. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 97% of them.
- NPI issued2024 · 97% of these records are older, 2% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileNo · 57% of these records are
- Record last updated2024 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
183 emergency medicine physician records list a practice address in Augusta
They are 183 of the 7,009 NPPES records with a practice address in Augusta, and 1,685 emergency medicine physician records in Georgia.
All 1,685 in Georgia → Every provider in Augusta → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Michael Blaivas, MDAugusta, GA 309121639289341
- Louis Ciamillo, MDAugusta, GA 309121881704575
- Phillip Coule, MDAugusta, GA 309121790895357
- Christopher Fly, MDAugusta, GA 309121902916471
- Hartmut Gross, MDAugusta, GA 309121154431500
- Walter Kuhn, MDAugusta, GA 309121912017195
- Matthew Lyon, MDAugusta, GA 309121932218146
- Kyle McLeod, MDAugusta, GA 309121164535332
Common questions
What is Tyler Pivatchai Jetjomlong, MD's NPI number?
Tyler Pivatchai Jetjomlong, MD's National Provider Identifier (NPI) is 1275376360, issued on Jun 17, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Tyler Pivatchai Jetjomlong, MD located?
The NPPES record lists a practice address at 1120 15TH St, Augusta, GA, 30912. Phone: (706) 721-0211. Providers update this record themselves, so call before visiting.
How can I verify Tyler Pivatchai Jetjomlong, MD's license?
NPPES lists Georgia license number 16450, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Tyler Pivatchai Jetjomlong, MD prescribe under Medicare Part D?
In 2024, Tyler Pivatchai Jetjomlong, MD had 21 Medicare Part D claims for 19 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.