Wyatt Benjamin Cherry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14117 Issued in TX

Practice address

19422 US Highway 281 N Ste 106
San Antonio, TX 78258-7615

Phone

(210) 455-9000

NPI assigned

May 17, 2012

Last updated

Feb 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jagannath LLCGroup PAC ID 3971668351, 12 clinicians

Sona LLC of TexasGroup PAC ID 3870618622, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Jagannath LLC

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1700038239
  Medicare reassignment Care Compare group
• Sona LLC of Texas

  dba Quality Urgent Care of America

  • Urgent Care Clinic/Center
  • Schertz, TX
  • NPI 1598087207
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739664000000",
    "number": "1659631182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19422 US HIGHWAY 281 N STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587615",
            "telephone_number": "210-455-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19422 US HIGHWAY 281 N STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587615",
            "telephone_number": "210-455-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "WYATT",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Cherry-Davenport
• Lakeesha Cherry
• Reagan Michelle Cherry, RBT
• Richard Newton Cherry Jr., OTR/L, ATP
• Ronald D Cherry, CSFA
• Sheyla V Cherryholmes
• Srikanth Cherukadu Vasalaa, DDS
• Kiran Kumar Cheruku, M.D.
• Patali Cheruku
• Raja Cherukuri, M.D.

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.