Active NPI
Ryan Randolph Wynn, APRN
- Family Nurse Practitioner
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN269330
- Practice address
- SC House Calls Inc/Ga House Calls Inc
3312 Northside Drive Building D Suite #200
Macon, GA 31210 - Phone
- (800) 491-0909
- NPI assigned
- Apr 20, 2022
- Last updated
- Feb 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN269330 | GA | Primary |
Addresses
Primary practice location
SC House Calls Inc/Ga House Calls Inc
3312 Northside Drive Building D Suite #200
Macon, GA 31210
Mailing address
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnect Health, Inc. | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients | |
| Careconnect Health, Inc. | Current | Accepting new patients |
Locations
1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242
209 N Camellia Blvd
Fort Valley, GA 31030
Phone (478) 822-0054
2565 Thompson Bridge Rd
Ste 114
Gainesville, GA 30501
125 1st St
Ste C
Macon, GA 31201
510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1624 Main St
Columbia, SC 29201
Phone (803) 454-0365
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Interoperability endpoints
- ryan.wynn.1@7602.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
GA
-
- Federally Qualified Health Center (FQHC)
- Richland, GA
- NPI 1063436624
-
dba CareConnect Convenient Care
- Federally Qualified Health Center (FQHC)
- Sylvester, GA
- NPI 1811874696
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1467195024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC",
"address_2": "111 DOCTORS CIRCLE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC/GA HOUSE CALLS INC",
"address_2": "3312 NORTHSIDE DRIVE BUILDING D SUITE #200",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "RYAN",
"middle_name": "RANDOLPH",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-20",
"last_updated": "2025-02-13",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN269330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.