Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Wyatt, CPT

Individual provider Technician · NPI 1902772148

Ebony Wyatt, CPT is a Technician in Columbia, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

811 Main St Ste 17
Columbia, MS 39429-2711
Phone: (601) 549-3006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X · Licence Z6Y4T5D7 (MS)

Record details

NPI number1902772148
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPT
Sole proprietorYes
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 14, 2025
Mailing address102 Lexington Dr, Hattiesburg, MS 39402-9313