Mark Andrew Wyatt, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000002098 Issued in TN

Practice address

2106A Trenton Rd
Wyatt Family Chiropractic
Clarksville, TN 37040-1609

Phone

(931) 647-7677

Fax

(931) 647-0122

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Care Chiropractic PLLC

  • Chiropractor
  • Clarksville, TN
  • NPI 1679872790
  NPD (past)
• McCallie Chiropractic & Rehabilitation Center PLLC

  • Chiropractor
  • Chattanooga, TN
  • NPI 1275500571
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1184692014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106A TRENTON RD",
            "address_2": "DR MARK A WYATT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401609",
            "telephone_number": "931-647-7677",
            "fax_number": "931-647-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106A TRENTON RD",
            "address_2": "WYATT FAMILY CHIROPRACTIC",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401609",
            "telephone_number": "931-647-7677",
            "fax_number": "931-647-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2098",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000002098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Wroblewski
• Paige Taylor Wulff, FNP-C
• Wyatt Chiropractic
• Amanda Wyatt
• Gara Wyatt, BS, RBT
• Susannah Schrecker Wyatt
• Taylor Delaney Wyatt, DMD MSD
• Melissa Wylie
• Kayla R Wynn, RBT
• Adrienne Yam, LMFT

• Chiropractor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.