Active NPI
Charles Handfield Wyatt, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD41701
- Practice address
- 3715 Dauphin St Ste 7a
Mobile, AL 36608-1775 - Phone
- (251) 410-4001
- Fax
- (251) 410-4002
- NPI assigned
- Jul 7, 2005
- Last updated
- Aug 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD41701 | AL | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME64289 | FL |
Addresses
Primary practice location
3715 Dauphin St Ste 7a
Mobile, AL 36608-1775
Mailing address
PO Box 11407 Dept # 8094
Birmingham, AL 35246-0001
Phone (251) 410-4002
Other practice location 1
5147 N 9th Ave Ste 318
Pensacola, FL 32504-8710
Phone (850) 462-2250
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
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Baylor College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3715 Dauphin St
Suite 7a
Mobile, AL 36608-1775
Phone (251) 410-4001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD41701 | AL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springhill Physician Practices, Inc | Current | Accepting new patients | |
| Springhill Physician Practices, Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Springhill Physician Practices, Inc. | Past | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1000A Cody Rd S
Mobile, AL 36695
Phone (251) 340-7942
3632 Dauphin St
Ste 101B
Mobile, AL 36608
Phone (251) 460-5280
3715 Dauphin St
Ste 7A
Mobile, AL 36608
Phone (251) 410-4001
5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188
Interoperability endpoints
- cwyatt@springhillphy.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73098
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Mobile, AL
- NPI 1821145269
-
dba Springhill Sleep Clinic
- Sleep Disorder Diagnostic Clinic/Center
- Mobile, AL
- NPI 1730580556
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Multi-Specialty Clinic/Center
- Mobile, AL
- NPI 1336466093
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Mobile, AL
- NPI 1760944557
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1740287630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407 DEPT # 8094",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352460001",
"telephone_number": "251-410-4002",
"fax_number": "251-410-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 DAUPHIN ST STE 7A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081775",
"telephone_number": "251-410-4001",
"fax_number": "251-410-4002"
}
],
"practiceLocations": [
{
"address_1": "5147 N 9th Ave Ste 318",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325048710",
"country_code": "US",
"telephone_number": "850-462-2250",
"fax_number": "850-741-3053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYATT",
"first_name": "CHARLES",
"middle_name": "HANDFIELD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AL",
"license": "MD41701",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME64289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.