Julie Wyatt Dermatology Clinic, PLLC
NPI 1114409422ActiveOrganization· Dermatology· Jackson, MS
Dermatology in Jackson, Mississippi, registered in NPPES in September 2018. The authorized official on file is Julie P. Wyatt, MD, Owner. Medicare paid $97,187 for services to 589 patients in 2024.
Overview
| NPI | 1114409422 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2018 |
| Last updated in NPPES | Sep 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 20645 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|---|
| Accepts assignment | No (non-participating) |
Medicare services in 2024
| Medicare patients | 589 |
|---|---|
| Services billed | 2,007 across 50 procedure codes |
| Paid by Medicare | $97,187 |
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