DR. COLT WYATT WILDE DC
NPI 1972000271
Chiropractor in Greensboro, NC

Q: What is Colt Wilde's NPI number?

The NPI number for Colt Wilde is 1972000271. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Colt Wilde's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Colt Wilde was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 12, 2018Accepts Medicare Assignment

3410 W WENDOVER AVE, GREENSBORO, NC 27407(336) 274-3500(336) 292-1928 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Colt Wyatt Wilde Dc NPPES

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

DR. COLT WYATT WILDE DC (NPI 1972000271) is an individual chiropractor in Greensboro, North Carolina, licensed in North Carolina (4797) and active in the NPI registry since April 2018. He is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1972000271

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. COLT WYATT WILDECredential: DC

Location Address3410 W WENDOVER AVEGreensboro, NC 27407-1590

Mailing Address3410 W Wendover AveGreensboro, NC 27407-1590 · (336) 274-3500

Phone(336) 274-3500

Fax(336) 292-1928

Sole ProprietorNo

Medical School CMSLife Chiropractic CollegeGraduated 2017

Enumeration DateApril 12, 2018

✔ NPI 1972000271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NC · 4797

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3410 W WENDOVER AVE, Greensboro, NC 27407

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Colt Wyatt Wilde Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204191125

PECOS Enrollment IDI20180524001431

Medicare Billing Reassignment

Medicare enrollment records show Colt Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gys Chiro Inc

Same address

Chiropractor

3410 W WENDOVER AVE
Greensboro, NC 27407

Reassigned Medicare billing, North Carolina enrollment
10 clinicians in this Medicare group

NPI 1518949783 (336) 274-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JIMMY ALBERT BURLESON DC

Chiropractor

3410 W WENDOVER AVE
GREENSBORO, NC 27407

Guilford County (336) 274-3500

GYS CHIRO INC

Chiropractor

3410 W WENDOVER AVE
GREENSBORO, NC 27407

Guilford County (336) 274-3500

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 Colt Wilde's NPI number?

The NPI number for Colt Wilde is 1972000271. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Colt Wilde located?

Colt Wilde practices at 3410 W Wendover Ave, Greensboro, NC 27407. The listed phone number is (336) 274-3500.

What is Colt Wilde's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Colt Wilde enrolled in Medicare?

Yes. Colt Wilde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Colt Wilde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colt Wilde reassigns Medicare benefits to Gys Chiro Inc (Greensboro, NC). The 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 Colt Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colt Wilde accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Colt Wilde 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 Colt Wilde was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.