CLARA WYNN MD
NPI 1306596499
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since March 24, 2022PECOS Enrolled
677 CHURCH ST NE, ATTN: GME, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clara Wynn Md NPPES

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

CLARA WYNN MD (NPI 1306596499) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1306596499
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCLARA WYNNCredential: MD
Location Address677 CHURCH ST NE, ATTN: GMEMarietta, GA 30060-1101
Mailing Address677 Church St, Attn GmeMarietta, GA 30060
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateApril 9, 2026
NPPES CertifiedApril 9, 2026
NPI 1306596499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2026-01046 (NC)
677 CHURCH ST NE, Marietta, GA 30060

Secondary Practice Location 1

Location 11908 Lendew StGreensboro, NC 27408-7007 · Phone (336) 273-2835

Medicare Participation & PECOS Enrollment Status

Clara Wynn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for CLARA WYNN MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Cytopathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Pharmacist
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
677 CHURCH ST NE
MARIETTA, GA 30060
Hospitalist
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Psychiatry & Neurology (Clinical Neurophysiology)
677 CHURCH ST NE
MARIETTA, GA 30060
Hospitalist
677 CHURCH ST NE
MARIETTA, GA 30060
Internal Medicine (Critical Care Medicine)
677 CHURCH ST NE
MARIETTA, GA 30060
Pediatrics
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Family)
677 CHURCH ST NE
MARIETTA, GA 30060
Psychiatry & Neurology (Neurology)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
677 CHURCH ST NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306596499, enumerated as an "individual" on March 24, 2022.

The provider is located at 677 CHURCH ST NE ATTN: GME MARIETTA, GA 30060 and the phone number is (770) 793-5000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.