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SALITA WYNN
NPI 1407319411
Counselor - Professional in Byron, GA

Active since April 08, 2019PECOS Enrolled
100 MEADOWS WALK DR, BYRON, GA 31008(478) 319-2818 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2023, Apr 8, 2019 (2 updates tracked since 2019).

About Salita Wynn NPPES

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

SALITA WYNN (NPI 1407319411) is an individual professional provider in Byron, Georgia, licensed in Georgia (LPC013434) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407319411
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSALITA WYNN
Location Address100 MEADOWS WALK DRByron, GA 31008-5152
Mailing Address100 Meadows Walk DrByron, GA 31008-5152 · (478) 319-2818
Phone(478) 319-2818
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 8, 2019
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1407319411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC013434
Also ListedCounselorTaxonomy 101Y00000X
100 MEADOWS WALK DR, Byron, GA 31008
Open in Google Maps ↗

Other Identifiers 1

Other000000000None

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7315406196
PECOS Enrollment IDI20260824001041
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.

Medicare Billing Reassignment

Medicare enrollment records show Salita Wynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
1,280 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Georgia enrollment
  • 206 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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

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 Salita Wynn's NPI number?

The NPI number for Salita Wynn is 1407319411. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Salita Wynn located?

Salita Wynn practices at 100 Meadows Walk Dr, Byron, GA 31008. The listed phone number is (478) 319-2818.

What is Salita Wynn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Salita Wynn enrolled in Medicare?

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

Which organization bills Medicare for Salita Wynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Salita Wynn reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The 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 Salita Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Salita Wynn accept?

Health plans from Oscar Health list Salita Wynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salita Wynn was last updated on May 10, 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.