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JULIE P WYATT MD
NPI 1053532226
Dermatology in Jackson, MS

Active since May 02, 2007PECOS Enrolled
3000 OLD CANTON RD STE 430, JACKSON, MS 39216(601) 982-5441(601) 982-5442 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1053532226
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameJULIE P WYATTCredential: MD
Location Address3000 OLD CANTON RD STE 430Jackson, MS 39216
Mailing Address3000 Old Canton Rd Ste 430Jackson, MS 39216-4225 · (601) 982-5441 · Fax (601) 815-6613
Phone(601) 982-5441
Fax(601) 982-5442
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 30, 2018
✔ NPI 1053532226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 20645
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3000 OLD CANTON RD STE 430, Jackson, MS 39216
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Other Identifiers 3

OtherP01193355MS · Railroad Medicare Ptan
OtherP00781089Rr Medicare
Medicaid08655862MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie P Wyatt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2151842

Julie P Wyatt, MD Dermatology Clinic · Jackson, MS
Expired · Jul 29, 2026
CLIA Number25D2151842
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorDr. Julie P. Wyatt
Laboratory Phone(601) 982-5441
Laboratory LocationJulie P Wyatt, MD Dermatology Clinic3000 Old Canton Road, Suite 430, Jackson, MS 39216
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JULIE WYATT DERMATOLOGY CLINIC, PLLC
Dermatology
3000 OLD CANTON RD STE 430
JACKSON, MS 39216
Hinds County (601) 982-5441
MS. AMY HEIDELBERG FNP-C
Nurse Practitioner
3000 OLD CANTON RD STE 430
JACKSON, MS 39216
Hinds County (601) 982-5441

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.

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 7 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.