Active NPI
Lori C Wyatt, MD
- Family Medicine Physician
- Greenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- BP1-0044183
- Practice address
- 4400 I H 30 W Ste 100
Greenville, TX 75402-4620 - Phone
- (469) 800-3500
- Fax
- (469) 800-3510
- NPI assigned
- May 21, 2012
- Last updated
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP1-0044183 | TX | Primary |
Addresses
Primary practice location
4400 I H 30 W Ste 100
Greenville, TX 75402-4620
Mailing address
4400 I H 30 W Ste 100
Greenville, TX 75402-4620
Phone (469) 800-3500
Other practice location 1
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 657-7583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8FE249 | Other | TX | BCBS |
| 348849601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4400 Ih 30 W
100 Pca Greenville Family Practice
Greenville, TX 75402-4620
Phone (469) 800-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0044183 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Past | Accepting new patients |
Locations
301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742
4400 Interstate Highway 30 W
Ste 100
Greenville, TX 75402
Phone (469) 800-3500
105 Zeid Blvd
Henderson, TX 75652
Phone (903) 315-5612
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Interoperability endpoints
- lwyatt1334636@direct.sw.org
- lwyatt14613@christushealth.direct-ci.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hunt Regional
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
dba Baylor Scott & White Medical Center Lake Pointe
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1043570302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 I H 30 W STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754024620",
"telephone_number": "469-800-3500",
"fax_number": "469-800-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 I H 30 W STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754024620",
"telephone_number": "469-800-3500",
"fax_number": "469-800-3510"
}
],
"practiceLocations": [
{
"address_1": "105 Zeid Blvd",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "TX",
"postal_code": "756526070",
"country_code": "US",
"telephone_number": "903-657-7583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYATT",
"first_name": "LORI",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP1-0044183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8FE249",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "348849601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.