Kimberly Alley Wynne, FNP-BC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN274641 Issued in GA

Practice address

2400 Bellevue Rd
Dublin, GA 31021-2885

Phone

(478) 272-8266

NPI assigned

Oct 13, 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

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Atrium Health Navicent Rehabilitation Hospital Inpatient rehabilitation facility, Macon, GA, CCN 113029

Merit-based Incentive Payment System (MIPS)

Final score

91.15 of 100Reported as group

Quality

75.65

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwynne436083@carolinashealthcaresystem.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD

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.

• Central Georgia Heart Center, PC

  • Cardiovascular Disease Physician
  • Macon, GA
  • NPI 1780779363
  Medicare reassignment Care Compare group NPD
• Central Georgia Heart Center, PC

  • Phlebology Physician
  • Macon, GA
  • NPI 1710382320
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Georgia Rehabilitation

  • Rehabilitation Hospital
  • Macon, GA
  • NPI 1366450710

  Inpatient rehabilitation facility

  Care Compare affiliation
• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1811613797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 WILLIS HOWELL RD",
            "city": "DANVILLE",
            "state": "GA",
            "postal_code": "310174006",
            "telephone_number": "478-230-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212885",
            "telephone_number": "478-272-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "KIMBERLY",
        "middle_name": "ALLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN274641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "RN274641",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwynne@ccmgeorgia.com",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging regarding patient care and treatment plans",
            "address_1": "2400 Bellevue Rd",
            "city": "Dublin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310212885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kylie Wright, RD, LD
• Sharon Wright, RN
• Sierra Monique Wright
• Tanya Legayle Wright, CRT
• Lydia Lai-Wa Wu, N.P.
• Joseph Hunter Yancey, PMHNP-BC
• Anthony Yawn, NP
• Carla P Youngblood, RPH
• Zhiqiang Zhang, MD
• Jaime Zorba Sr., MD,FACP,FCGC,FAADEP

• Family Medicine Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.