WYNNE KENDRA LOTT PA-C
NPI 1811042815
Physician Assistant - Medical in Hazlehurst, GA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
4 S TALLAHASSEE ST STE 4, HAZLEHURST, GA 31539(912) 699-6570(912) 699-6572 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wynne Kendra Lott Pa-c NPPES

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

WYNNE KENDRA LOTT PA-C (NPI 1811042815) is an individual medical provider in Hazlehurst, Georgia, licensed in Georgia (003905) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Georgia School Of Medicine (2002).

NPPES Registry Identity

NPI1811042815
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameWYNNE KENDRA LOTTCredential: PA-C
Location Address4 S TALLAHASSEE ST STE 4Hazlehurst, GA 31539-6136
Mailing Address4 S Tallahassee St Ste 4Hazlehurst, GA 31539-6136 · (912) 699-6570 · Fax (912) 354-7569
Fax(912) 699-6572
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2002
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1811042815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in GA · 003905
4 S TALLAHASSEE ST STE 4, Hazlehurst, GA 31539

Secondary Practice Locations 2

Location 11115 Lexington AveSavannah, GA 31404-5502 · Phone (912) 354-4813 · Fax (912) 354-7569
Location 23025 Shrine Rd Ste 450Brunswick, GA 31520-4787 · Phone (912) 264-6133 · Fax (912) 267-1415

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wynne Kendra Lott Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658345202
PECOS Enrollment IDI20040820000580
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

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

Clinic/Center (Multi-Specialty)
4 S TALLAHASSEE ST STE 4
HAZLEHURST, GA 31539

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 Wynne Lott's NPI number?

The NPI number for Wynne Lott is 1811042815. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Wynne Lott located?

Wynne Lott practices at 4 S Tallahassee St Ste 4, Hazlehurst, GA 31539. The listed phone number is (912) 699-6570.

What is Wynne Lott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Wynne Lott enrolled in Medicare?

Yes. Wynne Lott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Wynne Lott accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Wynne Lott 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 Wynne Lott was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.