NINA WYATT MD
NPI 1295478709
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Q: 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.

Q: What is Nina Wyatt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nina Wyatt was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 April 14, 2022PECOS Enrolled

665 DULUTH HWY STE 501, LAWRENCEVILLE, GA 30046(678) 312-0400 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2025, Jun 14, 2023, Apr 14, 2022 (3 updates tracked since 2022).

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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 student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295478709

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNINA WYATTCredential: MD

Location Address665 DULUTH HWY STE 501Lawrenceville, GA 30046-8709

Mailing Address665 Duluth Hwy Ste 501Lawrenceville, GA 30046-8709 · (678) 312-0400

Phone(678) 312-0400

Sole ProprietorYes

Enumeration DateApril 14, 2022

Last NPPES UpdateJune 24, 20253 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1295478709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

665 DULUTH HWY STE 501, Lawrenceville, GA 30046

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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.

Other Providers at the Same Location NPPES 18

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

TIK PAU M.D.

Family Medicine