WAYNE UROLOGY
NPI 1063607828
Clinic/Center - Medical Specialty in Jesup, GA
About Wayne Urology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAYNE UROLOGY (NPI 1063607828) is a healthcare organization registered as a medical specialty in Jesup, Georgia and active in the NPI registry since September 2007. The organization holds a CLIA Microscopy certificate valid through November 24, 2026 and lists Mark Daniel Byron, Md Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wayne Urology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wayne Urology, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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) 11D1006500
Mark D Byron MD · Jesup, GAFrequently 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 Mark Byron MD PC's NPI number?
The NPI number for Mark Byron MD PC is 1063607828. It was assigned to this organization in the NPPES registry on September 13, 2007. The provider is also known as Wayne Urology.
Where is Mark Byron MD PC located?
Mark Byron MD PC is located at 162 Memorial Dr, Jesup, GA 31545. The listed phone number is (912) 427-8033.
What is Mark Byron MD PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Mark Byron MD PC enrolled in Medicare?
Yes. Mark Byron MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mark Byron MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Mark Byron MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mark Byron MD PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1006500) is associated with this NPI, valid through November 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mark Byron MD PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mark Byron MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Byron MD PC was last updated on January 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Wayne Urology · NPI 1063607828
Medical Specialty organization in Jesup, Georgia. Organization record, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1063607828 (Entity type: Organization)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Legal business name:** Mark Byron Md Pc
- **Organization subpart:** Yes (part of Mark Byron Md Pc)
- **Authorized official:** Mark Byron, MD OWNER
## Practice location
- **Address:** 162 MEMORIAL DR, Jesup, GA 31545-0101
- **Phone:** (912) 427-8033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Urology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2011
- **Other identifiers:** Medicare UPIN E95715 (GA); Medicare PIN GRP 4653 (GA); Medicaid 00833599B (GA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063607828) · Data from the CMS NPPES public registry.