Individual provider Active NPI

John D Wylie, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1457561912
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2010-00700 Issued in NC
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD34584 SC
Diagnostic Radiology Physician 2085R0202X 2010-00700 NC Primary

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

PO Box 63362
Charlotte, NC 28263-3362

Other practice location 1

1336 Berkeley Ct
Powell, OH 43065-7809
Phone (919) 684-8111

Other identifiers 3

IdentifierTypeStateIssuer
NC1532MedicaidSC
5919470MedicaidNC
H214822OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131203001063 OH Practitioner - Diagnostic Radiology 0648439760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

1336 Berkeley CT
Powell, OH 43065-7809
Phone (919) 684-8111

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD34584SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Allegiance Imaging and Radiology, LLC Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Charlotte Radiology P a CurrentSince Dec 16, 2012 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
Viva Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology Past Accepting new patients
Lutheran Hospital Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
South Pointe Hospital Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Dept AT 952576
Atlanta, GA 31192

2801 N Decatur Rd
Ste 100
Decatur, GA 30033
Phone (404) 902-2858

900 Thornton Rd
Ste A
Lithia Springs, GA 30122
Phone (770) 648-7974

3816 Latrobe Dr
Charlotte, NC 28211
Phone (704) 612-4955

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

724 Aubrey Bell Dr
Matthews, NC 28105
Phone (704) 295-3550

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

25900 Science Park Dr
Ste AC238
Beachwood, OH 44122
Phone (216) 448-3084

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

6100 W Creek Rd
Ste 35
Independence, OH 44131
Phone (212) 986-1666

7666 Charlotte Hwy
Ste 120
Indian Land, SC 29707
Phone (803) 328-6281

197 Piedmont Blvd
Ste 110
Rock Hill, SC 29732
Phone (803) 327-9934

Networks

  • Freedom Health HMO Network

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1457561912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63362",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Berkeley Ct",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430657809",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD34584",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2010-00700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1532",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919470",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H214822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.