Individual provider Active NPI

Ronald M Wyatt, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1689659492
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93300 Issued in FL
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

Updated by the provider on Oct 5, 2025

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 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

IdentifierTypeStateIssuer
272671800MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000829 AL Practitioner - Internal Medicine 7214968072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93300FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Action Coalition of Huntsville CurrentSince Sep 1, 2025 Accepting new patients
AIDS Action Coalition of Huntsville CurrentSince Sep 1, 2025 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.

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

Verify at the official NPI Registry.