AUSTIN WYNN MD
NPI 1295439891
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since March 28, 2023PECOS Enrolled
677 CHURCH STREET, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Austin Wynn Md NPPES

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

AUSTIN WYNN MD (NPI 1295439891) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295439891
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAUSTIN WYNNCredential: MD
Location Address677 CHURCH STREETMarietta, GA 30060
Mailing Address677 Church StreetMarietta, GA 30060
Sole ProprietorNo
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1295439891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
677 CHURCH STREET, Marietta, GA 30060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Austin Wynn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
677 CHURCH STREET, ATTN: GME
MARIETTA, GA 30060
Hospitalist
677 CHURCH STREET, WELLSTAR HOSPITALIST GROUP-WELLSTAR KENNESTONE HOSPITAL
MARIETTA, GA 30060
Psychiatry & Neurology (Neurocritical Care)
677 CHURCH STREET, SUITE 100N
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET, ATTN: GME
MARIETTA, GA 30060
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET
MARIETTA, GA 30060
Psychiatry & Neurology (Neurology)
677 CHURCH STREET, NEUROLOGY DEPARTMENT
MARUETTA, GA 30060
Anesthesiologist Assistant
677 CHURCH STREET
MARIETTA, GA 30060
Obstetrics & Gynecology
677 CHURCH STREET, GME
MARIETTA, GA 30060

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 Austin Wynn's NPI number?

The NPI number for Austin Wynn is 1295439891. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Austin Wynn located?

Austin Wynn practices at 677 Church Street, Marietta, GA 30060. The listed phone number is (770) 793-5000.

What is Austin Wynn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Austin Wynn enrolled in Medicare?

Yes. Austin Wynn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Austin Wynn was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.