WYNN FAMILY MEDICINE, PLLC
NPI 1144497082
Clinic/Center - Primary Care in Fairfax, VA

Q: What is Wynn Family Medicine, PLLC's NPI number?

The NPI number for Wynn Family Medicine, PLLC is 1144497082. It was assigned to this organization in the NPPES registry on May 9, 2008.

Q: What is Wynn Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 09, 2008CLIA 49D0221448 · Waiver

8316 ARLINGTON BLVD, SUITE 234, FAIRFAX, VA 22031(703) 560-0300(703) 560-8679 Get Directions Write a Review

NPPES record last updated: November 1, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Wynn Family Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYNN FAMILY MEDICINE, PLLC (NPI 1144497082) is a healthcare organization registered as a primary care in Fairfax, Virginia and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Alancia Christine Wynn, Managing Officer/owner, as its authorized official.

NPPES Registry Identity

NPI1144497082

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameWYNN FAMILY MEDICINE, PLLC

Location Address8316 ARLINGTON BLVD, SUITE 234Fairfax, VA 22031-5207

Mailing Address8316 Arlington Blvd, Suite 234Fairfax, VA 22031-5207 · (703) 560-0300 · Fax (703) 560-8679

Phone(703) 560-0300

Fax(703) 560-8679

Organization SubpartNo

Authorized OfficialAlancia Christine WynnManaging Officer/owner · (703) 560-0300

Enumeration DateMay 9, 2008

Last NPPES UpdateNovember 1, 2008

✔ NPI 1144497082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in VA · 0101054642

8316 ARLINGTON BLVD, Fairfax, VA 22031

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Other Identifiers 1

Medicare PIN131502

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wynn Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wynn Family Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alancia Wynn, M.D.

Family Practice

NPI 1952373409

8316 ARLINGTON BLVD SUITE 234
Fairfax, VA 22031

(703) 560-0300

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0221448

Wynn Family Medicine, PLLC · Fairfax, VA

Active · expires Aug 31, 2028

CLIA Number49D0221448

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorAlancia C. Wynn, MD

Laboratory Phone(703) 560-0300

Laboratory LocationWynn Family Medicine, PLLC8316 Arlington Boulevard - Suite 234, Fairfax, VA 22031

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wynn Family Medicine, PLLC's NPI number?

The NPI number for Wynn Family Medicine, PLLC is 1144497082. It was assigned to this organization in the NPPES registry on May 9, 2008.

Where is Wynn Family Medicine, PLLC located?

Wynn Family Medicine, PLLC is located at 8316 Arlington Blvd Suite 234, Fairfax, VA 22031. The listed phone number is (703) 560-0300.

What is Wynn Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Wynn Family Medicine, PLLC enrolled in Medicare?

Yes. Wynn Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wynn Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wynn Family Medicine, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wynn Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0221448) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wynn Family Medicine, PLLC was last updated on November 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.