Active NPI
Ronald M Wyatt, M.D.
- Internal Medicine Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME93300
- Practice address
- 3500 Memorial Pkwy SW
Huntsville, AL 35801-5318 - Phone
- (256) 536-4700
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME93300 | FL | Primary |
Addresses
Primary practice location
3500 Memorial Pkwy SW
Huntsville, AL 35801-5318
Mailing address
806 Governors Dr SW Ste 206
Huntsville, AL 35801-5133
Phone (256) 715-4239
Other practice location 1
8371 Highway 72 W
Suite 104
Madison, AL 35758-9505
Phone (256) 726-6970
Other practice location 2
415 Church St NW Ste 10
Huntsville, AL 35801-5573
Phone (256) 536-4700 ext. 9023
Other practice location 3
201 E McKinney Ave Ste A
Albertville, AL 35950-1876
Phone (256) 660-5127
Other practice location 4
112 S Pine St Ste 202
Florence, AL 35630-5509
Phone (256) 764-0492
Other practice location 5
3007 Memorial Pkwy SW Ste C
Huntsville, AL 35801-5394
Phone (256) 429-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272671800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME93300 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Action Coalition of Huntsville | Current | Accepting new patients | |
| AIDS Action Coalition of Huntsville | Current | Accepting new patients |
Locations
201 E McKinney Ave
Ste A
Albertville, AL 35950
Phone (256) 660-5127
112 S Pine St
Ste 202
Florence, AL 35630
Phone (256) 764-0492
3500 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 213-1800
600 Saint Clair Ave SW
Ste 14
Huntsville, AL 35801
Phone (256) 533-3314
806 Governors Dr SW
Ste 206
Huntsville, AL 35801
415 Church St NW
Ste 10
Huntsville, AL 35801
Phone (256) 536-4700
3007 Memorial Pkwy SW
Ste C
Huntsville, AL 35801
Phone (256) 382-3344
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Huntsville, AL
- NPI 1770635633
-
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1952298184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759622400000",
"number": "1689659492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 GOVERNORS DR SW STE 206",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015133",
"telephone_number": "256-715-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 MEMORIAL PKWY SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015318",
"telephone_number": "256-536-4700"
}
],
"practiceLocations": [
{
"address_1": "8371 Highway 72 W",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357589505",
"country_code": "US",
"telephone_number": "256-726-6970",
"fax_number": "256-726-6971",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 Church St NW Ste 10",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358015573",
"country_code": "US",
"telephone_number": "256-536-4700 x9023",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E McKinney Ave Ste A",
"address_purpose": "LOCATION",
"city": "Albertville",
"state": "AL",
"postal_code": "359501876",
"country_code": "US",
"telephone_number": "256-660-5127",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 S Pine St Ste 202",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "356305509",
"country_code": "US",
"telephone_number": "256-764-0492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3007 Memorial Pkwy SW Ste C",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358015394",
"country_code": "US",
"telephone_number": "256-429-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYATT",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2025-10-05",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME93300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272671800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.