Individual provider Active NPI

Charles W Wyble Jr., MD

  • Vascular Surgery Physician
  • Marietta, GA
National Provider Identifier
1932176377
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
056938 Issued in GA
Practice address
61 Whitcher Street NE
Suite 2100
Marietta, GA 30060-1179
Phone
(770) 423-0595
Fax
(770) 423-0598
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 056938 GA Primary

Addresses

Primary practice location

61 Whitcher Street NE
Suite 2100
Marietta, GA 30060-1179

Mailing address

60 Chastain Center Blvd NW Ste 66
Kennesaw, GA 30144-5598
Phone (770) 423-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20051013000577 GA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 3779508262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Hahneman Medical College of the Pacific, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Surgical Associates, PCGroup PAC ID 6709862212, 25 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

130 Riverstone Ter
Suite 100
Canton, GA 30114-1702
Phone (770) 423-0595

2041 Mesa Valley Way
Suite 185
Austell, GA 30106-6856
Phone (770) 423-0595

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 423-0595

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

55 Whitcher Nest
Suite 160
Marietta, GA 30060-1160
Phone (770) 422-1372

6095 Professional Pkwy
Suite B203
Douglasville, GA 30134-5608
Phone (770) 423-0595

61 Whitcher St NE
Suite 2100
Marietta, GA 30060-1179
Phone (770) 423-0595

61 Whitcher St NE
Suite 3150
Marietta, GA 30060-1180
Phone (770) 423-0595

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 423-0595

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (770) 423-0595

962 Joe Frank Harris Pkwy SE
Suite 202
Cartersville, GA 30120-2154
Phone (770) 554-1155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion11
Leg revascularization (restoring blood flow)1-10
Removal of tissue11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgical Associates, PC CurrentSince Oct 1, 2005 Accepting new patients
Kennestone Hospital, Inc. CurrentSince Nov 1, 2005 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Kennestone Hospital, Inc CurrentSince Nov 1, 2005 Accepting new patients
Vascular Surgical Associates, PC Vascular Surgery CurrentSince Oct 1, 2005 Accepting new patients
Cardiac Surgery Associates SC Past Accepting new patients
Quantum Radiology, PC Past Accepting new patients
Michigan Multispecialty Physicians, P.C. Vascular Surgery Past Accepting new patients
Noninvasive Vascular Testing Inc Vascular Surgery Past Accepting new patients

Locations

2041 Mesa Valley Way
Ste 185
Austell, GA 30106
Phone (404) 785-8900

130 Riverstone Ter
Ste 100
Canton, GA 30114
Phone (770) 479-4800

962 Joe Frank Harris Pkwy SE
Ste 202
Cartersville, GA 30120
Phone (770) 334-8818

6095 Professional Pkwy
Ste B203
Douglasville, GA 30134
Phone (770) 947-7747

148 Bill Carruth Pkwy
Ste 380
Hiram, GA 30141
Phone (770) 874-0703

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

60 Chastain Center Blvd NW
Ste 66
Kennesaw, GA 30144

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

3747 Roswell Rd
Ste 316
Marietta, GA 30062
Phone (678) 626-5420

61 Whitcher St NE
Ste 3150
Marietta, GA 30060

61 Whitcher St NE
Ste 2100
Marietta, GA 30060

61 Whitcher St NE
Ste 2120
Marietta, GA 30060
Phone (770) 544-1145

120 Stonebridge Pkwy
Ste 320
Woodstock, GA 30189
Phone (770) 874-7631

100 Stoneforest Dr
Ste 130
Woodstock, GA 30189
Phone (678) 388-1621

1505 Stone Bridge Pkwy
Ste 100
Woodstock, GA 30189
Phone (404) 425-5570

1505 Stone Bridge Pkwy
Woodstock, GA 30189
Phone (770) 926-6520

Interoperability endpoints

  • Direct secure messaging: charleswyblejr@vsa.allscriptsdirect.net

Organizations & group practices 10

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 6

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1932176377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CHASTAIN CENTER BLVD NW STE 66",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445598",
            "telephone_number": "770-423-0595",
            "fax_number": "678-391-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WHITCHER STREET NE",
            "address_2": "SUITE 2100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601179",
            "telephone_number": "770-423-0595",
            "fax_number": "770-423-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYBLE",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "056938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.