Kimberly Wyatt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009225 Issued in GA

Practice address

510 Plaza Drive Atlanta Ga 30349
Suite 1550
College Park, GA 30349-4107

Phone

(470) 731-0458

Fax

(470) 541-1449

NPI assigned

Nov 22, 2013

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1336579622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PLAZA DRIVE ATLANTA GA 30349",
            "address_2": "SUITE 1550",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "470-731-0458",
            "fax_number": "470-541-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PLAZA DRIVE ATLANTA GA 30349",
            "address_2": "SUITE 1550",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494107",
            "telephone_number": "470-731-0458",
            "fax_number": "470-541-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "KIMBERLY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darleen Claire Wodzenski, LPC
• Julian Wood
• Sandra Wordlaw-Watkins, M.D.
• Wound Care Solutions
• Alfred Dyonisius Wyatt Jr., DMD
• Sharla E Wyatt, D.D.S.
• Amy York
• Michael Jonathan York, M.D.
• Young Healthcare Associates & Co LLC
• Nancy Young, FNP-BC

• Chiropractor in College Park, GA
• Providers in College Park, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.