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