NPIMap

Individual provider Active NPI

Thomas Wyatt, M.D.

  • Psychiatry Physician
  • Blairsville, GA
National Provider Identifier
1750443552
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
029395 Issued in GA
Practice address
1294 Highway 515 E
Suite 100
Blairsville, GA 30512-8599
Phone
(404) 321-6111
Fax
(404) 417-1595
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 029395 GA Primary

Addresses

Primary practice location

1294 Highway 515 E
Suite 100
Blairsville, GA 30512-8599

Mailing address

1294 Highway 515 E
Suite 100
Blairsville, GA 30512-8599
Phone (404) 321-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
029395GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB Past Accepting new patients

Organizations & group practices 1

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1750443552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 HIGHWAY 515 E",
            "address_2": "SUITE 100",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128599",
            "telephone_number": "404-321-6111",
            "fax_number": "404-417-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 HIGHWAY 515 E",
            "address_2": "SUITE 100",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128599",
            "telephone_number": "404-321-6111",
            "fax_number": "404-417-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "029395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.