Individual provider Active NPI

Ossian B. Wynn, MD

  • Emergency Medicine Physician
  • Eden, NC
National Provider Identifier
1891759171
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
28450 Issued in NC
Practice address
117 E. Kings Highway
Eden, NC 27288-5201
Phone
(336) 623-9711
Fax
(336) 623-7660
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28450 NC Primary

Addresses

Primary practice location

117 E. Kings Highway
Eden, NC 27288-5201

Mailing address

117 E. Kings Highway
Eden, NC 27288-5201
Phone (336) 623-9711

Other identifiers 1

IdentifierTypeStateIssuer
8907737MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, LA, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081202000617 NC Practitioner - Emergency Medicine 5597826081 Reassigns benefits to 3 organizations
I20170308000113 VA Practitioner - Emergency Medicine 5597826081 Reassigns benefits to 2 organizations
I20220331001025 LA Practitioner - Emergency Medicine 5597826081 Reassigns benefits to 8 organizations
I20230614000923 TX Practitioner - Emergency Medicine 5597826081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Emergency Group, LLCGroup PAC ID 6800295890, 42 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

2531 Viking Dr
Bossier City, LA 71111-2103
Phone (318) 681-7000

600 E Interstate 20
Stanton, TX 79782-2084
Phone (432) 756-3345

Hospital & facility affiliations

  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28450NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Physicians PLLC CurrentSince May 28, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Ess of Ferriday, LLC Emergency Medicine CurrentSince Mar 30, 2022 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Mar 30, 2022 Accepting new patients
NC Emergency Physician Services, PLLC Emergency Medicine CurrentSince Nov 15, 2014 Accepting new patients
Oakdale Ess LLC Emergency Medicine CurrentSince Mar 30, 2022 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Jena Ess LLC Emergency Medicine CurrentSince Mar 30, 2022 Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine CurrentSince May 2, 2017 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Aug 20, 2025 Accepting new patients
Jena Ess Hospitalist LLC CurrentSince Mar 30, 2022 Accepting new patients
Unc Rockingham Health Care, Inc. Past Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Piedmont Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients

Locations

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

500 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-5131

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

821 Jeffee Dr
Kermit, TX 79745
Phone (432) 586-2040

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

600 E Interstate 20
Stanton, TX 79782
Phone (432) 607-3200

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: owynn624727@christushealth.direct-ci.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1891759171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E. KINGS HIGHWAY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885201",
            "telephone_number": "336-623-9711",
            "fax_number": "336-623-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E. KINGS HIGHWAY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885201",
            "telephone_number": "336-623-9711",
            "fax_number": "336-623-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "OSSIAN",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "28450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907737",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.