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DAVID WYKSTRA, MD, PC
NPI 1154087013
Surgery in Waycross, GA

Active since November 15, 2021
2005 PIONEER ST STE C, WAYCROSS, GA 31501(912) 490-4805 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2022, Nov 15, 2021 (2 updates tracked since 2021).

About David Wykstra, Md, Pc NPPES

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

DAVID WYKSTRA, MD, PC (NPI 1154087013) is a healthcare organization registered as a surgery in Waycross, Georgia and active in the NPI registry since November 2021. The organization lists David Wykstra, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154087013
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDAVID WYKSTRA, MD, PC
Location Address2005 PIONEER ST STE CWaycross, GA 31501-6205
Mailing Address3437 Driggers RdWaycross, GA 31503-9512 · (912) 286-9192
Phone(912) 490-4805
Organization SubpartNo
Authorized OfficialDavid WykstraCeo · (912) 286-9192
Enumeration DateNovember 15, 2021
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1154087013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2005 PIONEER ST STE C, Waycross, GA 31501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELLE ALYSE GUNTER FNP-C
Nurse Practitioner (Family)
2005 PIONEER ST STE C
WAYCROSS, GA 31501
Ware County (912) 490-4805
BRADLEY DANIEL PAGE PA
Physician Assistant (Medical)
2005 PIONEER ST STE C
WAYCROSS, GA 31501
Ware County (912) 490-7777
DIABETES AND ENDOCRINE TREATMENT CENTER INC.
Specialist
2005 PIONEER ST STE C
WAYCROSS, GA 31501
Ware County (912) 284-9888

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 David Wykstra, MD, PC's NPI number?

The NPI number for David Wykstra, MD, PC is 1154087013. It was assigned to this organization in the NPPES registry on November 15, 2021.

Where is David Wykstra, MD, PC located?

David Wykstra, MD, PC is located at 2005 Pioneer St Ste C, Waycross, GA 31501. The listed phone number is (912) 490-4805.

What is David Wykstra, MD, PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for David Wykstra, MD, PC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.