Michelle Hewlett Wynn, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

928407 Issued in NC

Practice address

8401 Medical Plaza Dr Ste 300
Charlotte, NC 28262-8702

Phone

(704) 316-6561

Fax

(704) 384-1977

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1093882664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628702",
            "telephone_number": "704-316-6573",
            "fax_number": "704-384-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MEDICAL PLAZA DR STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628702",
            "telephone_number": "704-316-6561",
            "fax_number": "704-384-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "MICHELLE",
        "middle_name": "HEWLETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "928407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "898961E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiletha Janise Wylie
• Willane A. Wylie, O.D.
• Andrew Wyman
• Scott Wyne, PHARM.D.
• Arnie Wynn, D.C.
• Richard Thomas Wynn, M.D.
• Sentaria Wynn
• Ashley Kathryn Wynne, MS CCC-SLP
• John Patrick Wynne, MD
• Leigh Ann Wyrick, LCMHCA

• Pediatrics Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.