Bryce Thompson Wyatt (NPI# 1134532609, PAC ID# 0143441634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1134532609 |
| PAC ID by PECOS | 0143441634 |
| Professional Enrollment ID | I20190617001085 |
| Full Name | Bryce Thompson Wyatt |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Address |
1357 Hembree Rd Suite 250 Roswell GA 30076-5724 |
| Phone Number | 7704757550 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2014 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8921094376 |
| Number of Group Practice Members | 57 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5724 | 7704757550 | GEORGIA UROLOGY, PA |
| 1357 Hembree Rd, Suite 250, Roswell, GA 30076-5724 | UROLOGICAL PROFESSIONAL SERVICES, LLC |
| Organization Legal Name | GEORGIA UROLOGY, PA |
| Physicians | 57 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley Warren Ludwig | Urology | Georgia Urology, Pa | 145 Riverstone Ter, Suite 101, Canton, GA 30114-5327 |
| Carrie Collin | Nurse Practitioner | Georgia Urology, Pa | 5730 Glenridge Dr, Suite 200, Atlanta, GA 30328-5579 |
| Julia Caroline Branch | Nurse Practitioner | Georgia Urology, Pa | 1800 Northside Forsyth Dr, Suite 370, Cumming, GA 30041-8447 |
| Edwin A Smith | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Francis Peter Nicholson | Urology | Georgia Urology, Pa | 720 Old Snellville Hwy 100, Lawrenceville, GA 30044-6216 |
| A Paul Sherlag | Urology | Georgia Urology, Pa | 1670 Scott Blvd, Suite 204k, Decatur, GA 30033-5645 |
| Edward Stark | Urology | Georgia Urology, Pa | 2685 Milscott Dr, Decatur, GA 30033-5906 |
| Warren Todd Oberle | Urology | Georgia Urology, Pa | 1700 Hospital Dr, Suite 201, Austell, GA 30106 |
| Brandi Knight | Nurse Practitioner | Georgia Urology, Pa | 970 Joe Frank Harris Sepkwy, Suite 260, Cartersville, GA 30120-2161 |
| Shaya Taghechian | Urology | Georgia Urology, Pa | 790 Church Nest, Suite 430, Marietta, GA 30060-7290 |
| Street Address |
1357 HEMBREE RD SUITE 250 |
| City | ROSWELL |
| State | GA |
| Zip | 30076-5724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin L Schaffer | Allergy/immunology | Atlanta Allergy and Asthma, Pa | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5710 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick D Fraser | Psychologist, Clinical | 11755 Point Place, Suite B, Roswell, GA 30076 | |
| Katharine Haase | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Alexandra N. Katsorelos | Occupational Therapy | Foundation Therapy Center-alpharetta, LLC | 11660 Alpharetta Hwy, Suite 560, Roswell, GA 30076 |
| Jennifer Bush | Nurse Practitioner | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark L Gravlee | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| James Haynes | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Sachin Lavania | Pulmonary Disease | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Justin Kunes | Orthopedic Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Mark H Middleton | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Jacob Holloway | General Surgery | Wellstar Medical Group, LLC | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076-0001 |
| Find all physicians in zip 30076 | |||
| City | ROSWELL |
| Zip Code | 30076 |
| Specialty | UROLOGY |
| City + Specialty | ROSWELL + UROLOGY |
Please comment or provide details below to improve the information on Bryce Thompson Wyatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.