Wyatt Robert Algee, M.D.
Individual provider Active NPI Internal Medicine Physician · Dyersburg, TN
NPI 1659327765 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1659327765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 6899 (TN)
- Practice address
- 400 E Tickle St
Dyersburg, TN 38024-3120 - Phone
- (731) 285-9938
- Fax
- (731) 287-8809
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6899 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Bolivar General Hospital, Inc. | Past | Accepting new patients | |
| Decatur County General Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 6899 | TN | |
| Internal Medicine Physician | 207R00000X | 6899 | TN | Yes |
Addresses
Primary practice location
400 E Tickle St
Dyersburg, TN 38024-3120
Mailing address
1067 Vendall Rd
Suite a
Dyersburg, TN 38024-1622
Phone (731) 285-9938
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3897071 | Medicaid | TN | |
| 3897072 | Medicaid | TN |
Other providers in Dyersburg, TN
- A-1 Transportation,LLC
- Michael Abdelmisseh
- Aegis Group Practice LLC
- Jameela Olean Ahmad
- Air Evac EMS Inc.
- Jared Michael Alvey
- Ambulance Services of Dyersburg, Inc.
- Anderson Brace & Limb PLLC
- Katelyn E. Anderson
- Mark Wesley Anderson
All providers in Dyersburg, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.