MR. WYATT BENJAMIN CHERRY (PA-C) – Physician Assistant, NPI 1659631182

MR. WYATT BENJAMIN CHERRY (PA-C) is a healthcare provider. based in Robins afb, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14117 (TX). The NPI Number for MR. WYATT BENJAMIN CHERRY (PA-C) is 1659631182

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. WYATT BENJAMIN CHERRY (PA-C)
NPI
1659631182
Phone
(228) 235-9190
Address
655 7TH ST BLDG 700700-A
Enumeration Date
17 May 2012
Last Update Date
16 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
2104559000
Graduation Year
2013 (13 years ago)
PAC ID
9436543808
Group Practice PAC ID
3971668351
Professional Enrollment ID
I20220301000403
Address ID
TX782587615SA19422NXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. WYATT BENJAMIN CHERRY (PA-C)

  • 655 7TH ST BLDG 700700-A

    78 MDG/SGXOF

    ROBINS AFB, GA 310982227

    Phone: (228) 235-9190

    Type: Mailing

  • 221 3RD ST W

    RANDOLPH AFB, TX 781504800

    Phone: (210) 916-9900

    Type: Location

  • 19422 US HIGHWAY 281 N STE 106

    SAN ANTONIO, TX 782587615

    Phone: (210) 455-9000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220301000403IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1212$0
View full utilization report →

Insurance plans in this area (ZIP 31098)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971668351View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

How do payers reference MR. WYATT BENJAMIN CHERRY (PA-C)?
For MR. WYATT BENJAMIN CHERRY (PA-C), use NPI 1659631182 as the unique 10-digit identifier.
Active or inactive — what applies to MR. WYATT BENJAMIN CHERRY (PA-C)?
You should see MR. WYATT BENJAMIN CHERRY (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is MR. WYATT BENJAMIN CHERRY (PA-C)?
MR. WYATT BENJAMIN CHERRY (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is MR. WYATT BENJAMIN CHERRY (PA-C) registered?
Use Robins Afb, Georgia as the headline location for MR. WYATT BENJAMIN CHERRY (PA-C) here.
Can I trust this NPI listing for MR. WYATT BENJAMIN CHERRY (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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