WAYNE UROLOGY
NPI 1063607828
Clinic/Center - Medical Specialty in Jesup, GA

Active since September 13, 2007CLIA 11D1006500 · Microscopy
162 MEMORIAL DR, JESUP, GA 31545(912) 427-8033 Get Directions Write a Review

NPPES record last updated: January 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063607828
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMARK BYRON MD PC
Location Address162 MEMORIAL DRJesup, GA 31545-0101
Mailing Address162 Memorial DrJesup, GA 31545-0101 · (912) 427-8033 · Fax (912) 427-7565
Organization SubpartYes
Authorized OfficialMark Daniel ByronMd Owner · (912) 427-8033
Enumeration DateSeptember 13, 2007
Last NPPES UpdateJanuary 26, 2011
NPI 1063607828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in GA · 047579
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
162 MEMORIAL DR, Jesup, GA 31545

Other Names 1

Other NameWayne Urology

Other Identifiers 4

Medicare UPINE95715GA
Medicare PINGRP 4653GA
Medicaid00833599BGA
OtherGRP 4653GA · Medicare Group Number

Accepted Insurance

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, GA
Active · expires Nov 24, 2026
CLIA Number11D1006500
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorMark D. Byron
Laboratory Phone(912) 427-8033
Laboratory LocationMark D Byron MD825 S 1st Street, Jesup, GA 31545
CLIA data matches this NPI record on: 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.

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.

Family Medicine
162 MEMORIAL DR
JESUP, GA 31545
Public Health or Welfare
162 MEMORIAL DR
JESUP, GA 31545

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 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.

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.