LYNETTE VICTORIA WYNN (MD, MPH) – Obstetrics & Gynecology Physician, NPI 1245737972
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
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Provider Addresses for LYNETTE VICTORIA WYNN (MD, MPH)
1843 POINTE CROSSING ST APT 301
ANN ARBOR, MI 481052182
Phone: (248) 921-7919
Type: Mailing
Morehouse School of Medicine, 720, Westview Drive Southwest, Joel Chandler Harris Homes, Atlanta, Fulton County, Georgia, 30310, United States
ATLANTA, GA 303101458
Phone: (404) 616-4131
Type: Location
605 S CONROE MEDICAL DR
CONROE, TX 773044722
Phone: (936) 539-4004
Fax: (936) 539-3635
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-06-07
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 |
|---|---|---|---|---|
| I20220607002288 | I | Obstetrics/Gynecology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Mental Health Counselor | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Mental Health Counselor | TX | |
| Family Practice | TX | |
| Dermatology, Pathology | TX | |
| Registered Dietitian Or Nutrition Professional | TX | |
| Family Practice | TX | |
| Family Practice | TX |
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