Individual provider Active NPI

Bryce Thompson Wyatt, M.D

  • Urology Physician
  • Roswell, GA
National Provider Identifier
1134532609
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
82294 Issued in GA
Practice address
1357 Hembree Rd Ste 250
Roswell, GA 30076-5724
Phone
(770) 475-7550
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 82294 GA Primary

Addresses

Primary practice location

1357 Hembree Rd Ste 250
Roswell, GA 30076-5724

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4686

Other practice location 1

5730 Glenridge Dr Ste 200
Atlanta, GA 30328-5579
Phone (404) 252-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617001085 GA Practitioner - Urology 0143441634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians

Practice addresses (Care Compare)

11835 Alpharetta Hwy
Roswell, GA 30076-4929
Phone (770) 475-7550

1357 Hembree Rd
Suite 250
Roswell, GA 30076-5724
Phone (770) 475-7550

2685 Milscott Dr
Decatur, GA 30033-5906
Phone (404) 292-3727

5730 Glenridge Dr
Suite 200
Atlanta, GA 30328-5579
Phone (404) 256-1844

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.21 of 100Reported as group
Quality
52.19
Promoting interoperability
98
Improvement activities
40
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Urological Professional Services, LLC Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Georgia Urology, PA CurrentSince Jul 1, 2019 Accepting new patients
Georgia Urology PA Single Specialty Current Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1800 Northside Forsyth Dr
Ste 370
Cumming, GA 30041
Phone (770) 889-9737

2685 Milscott Dr
Decatur, GA 30033
Phone (404) 292-3727

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

33 Upper Riverdale Rd SW
Ste 105
Riverdale, GA 30274
Phone (770) 991-0020

1357 Hembree Rd
Ste 250
Roswell, GA 30076
Phone (770) 475-7550

11835 Alpharetta Hwy
Ste 100
Roswell, GA 30076
Phone (770) 475-7550

11835 Alpharetta Hwy
Ste 101
Roswell, GA 30076
Phone (770) 475-7550

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

4298 Atlanta Rd SE
Ste 305
Smyrna, GA 30080
Phone (678) 284-4040

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Interoperability endpoints

  • Direct secure messaging: bryce.wyattmd.p1@direct.gupa.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1134532609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765724",
            "telephone_number": "770-475-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5730 Glenridge Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303285579",
            "country_code": "US",
            "telephone_number": "404-252-5206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "BRYCE",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "82294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.