Ellen Wyzykowski

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN072856 Issued in GA

Practice address

455 Epps Bridge Pkwy Ste 202
Athens, GA 30606-3347

Phone

(706) 775-8907

NPI assigned

Dec 20, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1124730296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SHERWOOD CIR",
            "city": "DANIELSVILLE",
            "state": "GA",
            "postal_code": "306335891",
            "telephone_number": "706-254-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EPPS BRIDGE PKWY STE 202",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063347",
            "telephone_number": "706-775-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYZYKOWSKI",
        "first_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN072856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wyatt II, CRNA
• Jennifer Laura Wyatt, NP
• Tracey Wyatt, LPC
• Shannon Leigh Wynne, BCBA
• Wendy Wynne, LPN
• Jack Fisher Yancey, MD
• Katherine H Yancey, MD
• Margaret Hannah Yankovich, MMSC, CAA
• Ashley Yarbrough, RN
• Helen Taylor Yates, LCSW

• General Practice Registered Nurse in Athens, GA
• Providers in Athens, GA by specialty
• General Practice Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.