Felicie G Wyatt, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME139323 Issued in FL

Practice address

969 Lakeland Dr
Jackson, MS 39216

Phone

(601) 200-4644

Fax

(601) 200-4645

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, AL, FL, PA, NY, WA6 enrollments

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 6

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Impact Physician Group LLCGroup PAC ID 6204199086, 26 clinicians

Hospitalist Services of Meridian PAGroup PAC ID 3274818042, 41 clinicians

Dumont Physician Services LLCGroup PAC ID 6800385576, 44 clinicians

RH Mississippi Hospitalist Medicine LLCGroup PAC ID 0547791873, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104
• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• Merit Health River Region Hospital, Vicksburg, MS, CCN 250031
• Baptist Memorial Rehabilitation Hospital-Madison Inpatient rehabilitation facility, Madison, MS, CCN 253028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dumont Physician Services LLC

  • Internal Medicine Physician
  • Meridian, MS
  • NPI 1972484780
  Medicare reassignment Care Compare group NPD
• RH Mississippi Hospitalist Medicine, LLC

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1891541207
  Medicare reassignment Care Compare group NPD
• Impact Physician Group, LLC

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1114428612

  MS

  Medicare reassignment Care Compare group NPD
• Hospitalist Services of Meridian PA

  • Hospitalist Physician
  • Meridian, MS
  • NPI 1639629777
  Medicare reassignment Care Compare group
• Medical Foundation, Inc.

  • Family Medicine Physician
  • Meridian, MS
  • NPI 1609820539

  Internal Medicine

  Medicare reassignment NPD
• Rush Care, Inc.

  • Internal Medicine Physician
  • Meridian, MS
  • NPI 1467736421
  Medicare reassignment NPD
• WCRX Health

  • Community/Retail Pharmacy
  • Port Gibson, MS
  • NPI 1104463207

  FL, NY, WA

  Medicare reassignment NPD
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303

  Internal Medicine

  Medicare reassignment NPD
• HR Physician Services

  • Obstetrics & Gynecology Physician
  • Meadowbrook, PA
  • NPI 1881696698

  Internal Medicine

  Medicare reassignment NPD
• Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1952390643
  Medicare reassignment NPD
• Medical Foundation, Inc.

  • Emergency Medicine Physician
  • Meridian, MS
  • NPI 1700917994
  NPD
• Franklin Primary Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• Baptist Memorial Rehabilitation Hospital - Madison LLC

  • Rehabilitation Hospital
  • Madison, MS
  • NPI 1457163156

  Inpatient rehabilitation facility

  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• River Oaks Hospital LLC

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation
• Vicksburg Healthcare LLC

  • General Acute Care Hospital
  • Vicksburg, MS
  • NPI 1215981303
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1740370261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22727",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252727",
            "telephone_number": "601-200-4644",
            "fax_number": "601-200-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-200-4644",
            "fax_number": "601-200-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083709",
            "country_code": "US",
            "telephone_number": "251-266-3580",
            "fax_number": "251-266-3581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Salem Ct",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012809",
            "country_code": "US",
            "telephone_number": "850-222-1963",
            "fax_number": "850-224-9356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "FELICIE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.30440",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MS",
            "license": "21128",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NE",
            "license": "22847",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME139323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Wroten
• Ben Hao Wu, PHD
• Wyatt & Jackson Center for Change, LLC
• Wyatt & Walker LLC
• Josephine Wyatt Ashmead, M.D.
• Julie P Wyatt, MD
• Mollie Wyatt, PH.D.
• Hart Katherine Wylie, PMHNP, LPC
• Ashley Wynn
• Carrie S Wynn, MD

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.