Henry Gordon Wynn IV, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

55416 Issued in TN

Practice address

909 Ridgeway Loop Rd
Memphis, TN 38120-4016

Phone

(901) 683-1112

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Tennessee, HSC, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Passons Eye Center, P.L.L.C.Group PAC ID 1052494788, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.83 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/mdoffice_rowlandophthalmology
• Direct secure messaging: hwynn@passonseye.updoxdirect.com

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.

• Passons Eye Center, P.L.L.C.

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1720264468
  Medicare reassignment Care Compare group NPD
• Rowland Ophthalmology PLC

  • Ophthalmology Physician
  • Millington, TN
  • NPI 1376934257
  Medicare reassignment NPD
• Fletcher H Goode MD PC

  • Ophthalmology Physician
  • Millington, TN
  • NPI 1700809605
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679816102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEWAY LOOP RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204016",
            "telephone_number": "901-683-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 RIDGEWAY LOOP RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204016",
            "telephone_number": "901-683-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Tennessee",
            "address_2": "910 Madison Avenue Suite 1031",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "901-448-5814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNN",
        "first_name": "HENRY",
        "middle_name": "GORDON",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "55416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwynn@passonseye.updoxdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "909 Ridgeway Loop Rd",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381204016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morgan Brinkley Wyatt
• Olivia Brooke Wyatt, MD
• Robert J Wyatt, MD
• Jiana Wyche
• Anne Briton Craddock Wynn, M.D.
• Xclusive Kutz Barbershop
• April M Xenos, D.O
• Dong XI, MD
• Ying Xu, MD
• Nour Mohammad Yadak, M.D

• Ophthalmology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.