Active NPI
Anne Briton Craddock Wynn, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 55810
- Practice address
- 880 Madison Ave
Memphis, TN 38103-3409 - Phone
- (901) 545-8535
- NPI assigned
- Apr 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 55810 | TN | Primary |
Addresses
Primary practice location
880 Madison Ave
Memphis, TN 38103-3409
Mailing address
PO Box 5154
Memphis, TN 38101-5154
Phone (901) 275-3725
Other names 1
- Anne Briton Craddock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Tennessee, HSC, College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6555 Quince Rd
Memphis, TN 38119-8202
Phone (901) 515-3150
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 64.58
- Improvement activities
- 40
- Cost
- 77.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55810 | TN | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients |
Locations
6555 Quince Rd
Memphis, TN 38119
Phone (901) 515-3150
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
890 Madison Ave
Memphis, TN 38103
Phone (865) 776-7348
880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
Interoperability endpoints
- awynn23021@mlh.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1134462666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5154",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015154",
"telephone_number": "901-275-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "901-545-8535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "ANNE",
"middle_name": "BRITON CRADDOCK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TN",
"license": "55810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "CRADDOCK",
"middle_name": "BRITON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.