Timothy L Wyatt MD PA
NPI 1528374741 · Endocrinology, Diabetes & Metabolism Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy L Wyatt MD PA is a Endocrinology, Diabetes & Metabolism Physician organization in Jacksonville, FL (NPI 1528374741).
Provider details
- NPI number
- 1528374741
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Wyatt, President(904) 981-9959
- License
- ME64092 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-08-25
- Last updated
- 2025-11-25
- Certified
- 2025-11-25
Frequently asked questions
- What is Timothy L Wyatt MD PA's NPI number?
- Timothy L Wyatt MD PA's National Provider Identifier (NPI) is 1528374741, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy L Wyatt MD PA?
- Timothy L Wyatt MD PA is classified in the NPPES registry as Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy L Wyatt MD PA located?
- Timothy L Wyatt MD PA's practice location on file with NPPES is 2360a Park St, Jacksonville, FL 32204-4318.
- What is Timothy L Wyatt MD PA's phone number?
- The practice phone number listed in the NPPES registry for Timothy L Wyatt MD PA is (904) 981-9959.
- Does Timothy L Wyatt MD PA accept Medicare?
- Timothy L Wyatt MD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Timothy L Wyatt MD PA?
- The authorized official listed on Timothy L Wyatt MD PA's NPPES record is Timothy Wyatt, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy L Wyatt MD PA's NPI active?
- Yes — Timothy L Wyatt MD PA's NPI (1528374741) is active in the NPPES registry as of the last update on 2025-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.