Tonna M Wyatt (NPI# 1376904011, PAC ID# 7911296520) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376904011 |
| PAC ID by PECOS | 7911296520 |
| Professional Enrollment ID | I20160523000224 |
| Full Name | Tonna M Wyatt |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Address |
5070 Fayetteville Rd Lumberton NC 28358-2108 |
| Phone Number | 9107390133 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012058548 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2934 N Elm St, Suite B, Lumberton, NC 28358-2986 | 9102721175 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 9107390133 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby Alysse Gaskell | Physician Assistant | Southeastern Regional Physician Services | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 |
| Steven K Jernigan | Nurse Practitioner | Southeastern Regional Physician Services | 9858 Wr Lathan Dr, Clarkton, NC 28433-9255 |
| Joshua J Ruiz | Internal Medicine | Southeastern Regional Physician Services | 1200 Pine Run Dr, Lumberton, NC 28358-2180 |
| Andrew M Freeman | Family Medicine | Southeastern Regional Physician Services | 730 Oakridge Blvd, Lumberton, NC 28358-2324 |
| Debra B Beasley | Nurse Practitioner | Southeastern Regional Physician Services | 295 W 27th St, Lumberton, NC 28358-3016 |
| Melanie K Bauer | Physician Assistant | Southeastern Regional Physician Services | 105 W 27th St, Lumberton, NC 28358-3075 |
| Roberto Jose Arias Gautreaux | General Surgery | Southeastern Regional Physician Services | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 |
| Patricia Lyn Matto | Family Medicine | Southeastern Regional Physician Services | 2905 N Elm St, Lumberton, NC 28358-2982 |
| Saksith Smithason | Neurosurgery | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| Sean P Buckley | Nurse Practitioner | Southeastern Regional Physician Services | 923 W 3rd St, Pembroke, NC 28372-9628 |
| Street Address |
5070 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip | 28358-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Lisa Davis Campbell | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Lisa M Hershberger | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Allen | Orthopedic Surgery | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Bonnie W Skiadiotis | Nurse Practitioner | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| Chris Evan Estrellado | Physical Therapy | Allen Orthopedics P A | 404 Hatfield Ct, Lumberton, NC 28358-1126 |
| James W Dove | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Mary Elizabeth Devine | Certified Registered Nurse Anesthetist (crna) | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Kenneth C Madlangbayan | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| James R Pope Jr. | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Holly H Metzerott | Certified Registered Nurse Anesthetist | Southeastern Regional Medical Center | 300 W 27th St, Lumberton, NC 28358-1408 |
| Jianfeng Zeng | Neurology | 4850 Fayetteville Rd E, Lumberton, NC 28358-2100 | |
| Steven Costa | Chiropractic | Srcdc Inc | 4914 Fayetteville Rd, Lumberton, NC 28358-2110 |
| Find all physicians in zip 28358 | |||
| City | LUMBERTON |
| Zip Code | 28358 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LUMBERTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tonna M Wyatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.