Individual provider Active NPI

Brian Edward Wysong, MD

  • Family Medicine Physician
  • Gastonia, NC
National Provider Identifier
1912930009
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-00934 Issued in NC
Practice address
2290 Remount Rd
Gastonia, NC 28054-4725
Phone
(704) 867-1402
Fax
(888) 720-2814
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006-00934 NC Primary

Addresses

Primary practice location

2290 Remount Rd
Gastonia, NC 28054-4725

Mailing address

2550 Court Dr Ste 201
Gastonia, NC 28054-2152
Phone (704) 867-1402

Other identifiers 1

IdentifierTypeStateIssuer
5905656MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040604000685 SC Practitioner - Family Practice 8628050432 Reassigns benefits to 3 organizations
I20070424000288 NC Practitioner - Family Practice 8628050432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Gaston Family Practice PLLCGroup PAC ID 2668844168, 3 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Cherokee Medical CenterGroup PAC ID 5991041212, shared by 8 NPIs, 38 clinicians

Practice addresses (Care Compare)

1200 E Main St
Suite 12
Spartanburg, SC 29307-1738
Phone (864) 560-9260

2290 Remount Rd
Gastonia, NC 28054-4725
Phone (704) 867-1402

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

2995 Reidville Rd
Suite 100
Spartanburg, SC 29301-5600
Phone (864) 587-3000

840 W Floyd Baker Blvd
Gaffney, SC 29341-1845
Phone (864) 489-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions29
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-00934NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Family Medicine CurrentSince May 17, 2024 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince May 17, 2024 Accepting new patients
Cherokee Medical Center Family Medicine CurrentSince May 17, 2024 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Cherokee Medical Center CurrentSince May 17, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince May 17, 2024 Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Gaston Family Practice PLLC Family Medicine CurrentSince Dec 31, 2022 Accepting new patients

Locations

2290 Remount Rd
Gastonia, NC 28054
Phone (704) 316-4979

2550 Court Dr
Ste 201
Gastonia, NC 28054
Phone (704) 867-3585

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Interoperability endpoints

  • Direct secure messaging: brian.wysong@648851128123396.direct.elationemr.com
  • Direct secure messaging: brian.wysong@gfp1.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1912930009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 COURT DR STE 201",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542152",
            "telephone_number": "704-867-1402",
            "fax_number": "704-671-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 REMOUNT RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544725",
            "telephone_number": "704-867-1402",
            "fax_number": "888-720-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSONG",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-00934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905656",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.