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

NINA WYATT MD
NPI 1295478709
Family Medicine in Smyrna, GA

Active since April 14, 2022PECOS Enrolled
1457 MONTCLAIR CT SE, SMYRNA, GA 30080(770) 843-5577 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Jun 24, 2025, Jun 14, 2023 and 1 more (4 updates tracked since 2022).

About Nina Wyatt Md NPPES

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

NINA WYATT MD (NPI 1295478709) is an individual family medicine provider in Smyrna, Georgia, licensed in Georgia (111840) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295478709
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNINA WYATTCredential: MD
Location Address1457 MONTCLAIR CT SESmyrna, GA 30080-6100
Mailing Address1457 Montclair Ct SeSmyrna, GA 30080-6100 · (770) 843-5577
Phone(770) 843-5577
Sole ProprietorYes
Enumeration DateApril 14, 2022
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1295478709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 111840
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1457 MONTCLAIR CT SE, Smyrna, GA 30080
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nina Wyatt's NPI number?

The NPI number for Nina Wyatt is 1295478709. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Nina Wyatt located?

Nina Wyatt practices at 1457 Montclair Ct SE, Smyrna, GA 30080. The listed phone number is (770) 843-5577.

What is Nina Wyatt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nina Wyatt enrolled in Medicare?

Yes. Nina Wyatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nina Wyatt was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.