Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CHARLES MANSON WYATT PA-C
NPI 1063481018
Physician Assistant - Medical in Fort Bragg, NC

Q: What is Charles Wyatt's NPI number?

The NPI number for Charles Wyatt is 1063481018. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Charles Wyatt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Charles Wyatt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since March 14, 2006

M-48611 LOGISTICS AVE, JOEL HEALTH CLINIC, FORT BRAGG, NC 28310(910) 907-9166 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Charles Manson Wyatt Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES MANSON WYATT PA-C (NPI 1063481018) is an individual medical provider in Fort Bragg, North Carolina, licensed in North Carolina (100493) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063481018

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. CHARLES MANSON WYATTCredential: PA-C

Location AddressM-48611 LOGISTICS AVE, JOEL HEALTH CLINICFort Bragg, NC 28310-0001

Mailing Address2539 Cameron Woods LnFayetteville, NC 28306-7782 · (910) 907-9116 · Fax (910) 907-9828

Phone(910) 907-9166

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1063481018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 100493

M-48611 LOGISTICS AVE, Fort Bragg, NC 28310

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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 Charles Wyatt's NPI number?

The NPI number for Charles Wyatt is 1063481018. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Charles Wyatt located?

Charles Wyatt practices at M-48611 Logistics Ave Joel Health Clinic, Fort Bragg, NC 28310. The listed phone number is (910) 907-9166.

What is Charles Wyatt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Charles Wyatt was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.