Charles Manson Wyatt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

100493 Issued in NC

Practice address

M-48611 Logistics Ave
Joel Health Clinic
Fort Bragg, NC 28310-0001

Phone

(910) 907-9166

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063481018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 CAMERON WOODS LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067782",
            "telephone_number": "910-907-9116",
            "fax_number": "910-907-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M-48611 LOGISTICS AVE",
            "address_2": "JOEL HEALTH CLINIC",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "CHARLES",
        "middle_name": "MANSON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "100493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Kay B. Woolard, CNM
• Kristin Woolley
• Heath Daniel Wright, M.D.
• Melody Marlyse Wright
• Benjamin George Wurst, D.O.
• Melissa Erin Wyche, DO
• Dustin B Wygant, PH.D.
• David Andrew Yacynych, MD
• Mika I Yamashita, NP
• Kou Yang, MA, LAT, ATC

• Medical Physician Assistant in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.