Individual provider Active NPI

Dwayne Wright, M.D.

  • Internal Medicine Physician
  • Randolph, NJ
National Provider Identifier
1578841300
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
74450 Issued in GA
Practice address
44 Center Grove Rd
Apt P-18
Randolph, NJ 07869-4450
Phone
(954) 756-5673
NPI assigned
Jul 27, 2011
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74450 GA Primary

Addresses

Primary practice location

44 Center Grove Rd
Apt P-18
Randolph, NJ 07869-4450

Mailing address

44 Center Grove Rd
Apt P-18
Randolph, NJ 07869-4450

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
I20150801017382 GA Practitioner - Internal Medicine 8921312158 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74450GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Sep 7, 2022 Accepting new patients
Cogent Healthcare of Macon, LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Oct 1, 2022 Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1578841300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CENTER GROVE RD",
            "address_2": "APT P-18",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 CENTER GROVE RD",
            "address_2": "APT P-18",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694450",
            "telephone_number": "954-756-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DWAYNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "74450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.