JULIE P WYATT MD
NPI 1053532226
Dermatology in Jackson, MS
About Julie P Wyatt Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIE P WYATT MD (NPI 1053532226) is an individual dermatology provider in Jackson, Mississippi, licensed in Mississippi (20645) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Julie P Wyatt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Julie Wyatt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Julie Wyatt's NPI number?
The NPI number for Julie Wyatt is 1053532226. It was assigned to this individual provider in the NPPES registry on May 2, 2007.
Where is Julie Wyatt located?
Julie Wyatt practices at 3000 Old Canton Rd Ste 430, Jackson, MS 39216. The listed phone number is (601) 982-5441.
What is Julie Wyatt's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Julie Wyatt enrolled in Medicare?
Yes. Julie Wyatt is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Julie Wyatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Wyatt reassigns Medicare benefits to 2 organizations: Julie Wyatt Dermatology Clinic, PLLC (Jackson, MS) and State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Wyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Julie Wyatt was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Julie P Wyatt, MD · NPI 1053532226
Dermatology physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1053532226 (Entity type: Individual)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 20645 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3000 OLD CANTON RD STE 430, Jackson, MS 39216
- **Phone:** (601) 982-5441 · **Fax:** (601) 982-5442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Julie Wyatt Dermatology Clinic, PLLC (NPI 1114409422, Jackson, MS); State Of Mississippi - University Of Mississippi Medical Center (NPI 1477734689, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2018
- **Other identifiers:** Other P01193355 (MS); Other P00781089; Medicaid 08655862 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1053532226) · Data from the CMS NPPES public registry.