WYNHDAM GEORGE MORTIMER (MD) – Anesthesiology Physician, NPI 1235155367
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
Provider Addresses for WYNHDAM GEORGE MORTIMER (MD)
1265 Highway 54 W Ste 103
Fayetteville, GA 302144537
Phone: (678) 216-0771
Type: Location
1255 Highway 54 W
Fayetteville, GA 302144526
Phone: (404) 351-1745
Type: Location
745 Poplar Rd
Newnan, GA 302651618
Phone: (770) 400-1000
Type: Location
PO BOX 551420
FORT LAUDERDALE, FL 333551420
Phone: (800) 243-3839
Fax: (954) 839-2569
Type: Mailing
Peachtree Road, Brookwood, Atlanta, Georgia, 30363, United States
ATLANTA, GA 303091281
Phone: (404) 351-1745
Fax: (404) 351-7121
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Medtronic, Inc. ($38).
Total Amount
$70
General + Research + Ownership
Payments
4
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $38 |
| Chiesi USA, Inc. | $22 |
| Ambu Inc. | $10 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041214000258 | I | Anesthesiology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 44 | 43 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 24 | 24 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 19 | 18 | $0 |
| 00530 | Anesthesia for insertion of permanent heart pacemaker | 19 | 19 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 18 | 13 | $0 |
Insurance plans in this area (ZIP 30214)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | GA | 00142 | Anesthesia for lens surgery | 35 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | FL | |
| Anesthesiology Assistant | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Anesthesiology Assistant | FL | |
| A N E S T H E S I O L O G Y | GA |
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