Individual provider Active NPI

Robert Eugean Wynn Jr., FNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1972546794
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP001117 Issued in GA
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 543-5732
NPI assigned
Jun 13, 2006
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11027815 FL
Family Nurse Practitioner 363LF0000X GAA-NP001117 GA Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

265 White Oak Dr
Princeton, WV 24740-2973

Other practice location 1

122 12th St
Princeton, WV 24740
Phone (304) 487-7000

Other practice location 2

21054A Timberlake Rd
Lynchburg, VA 24502-7327
Phone (434) 239-0627

Other identifiers 1

IdentifierTypeStateIssuer
3810001692MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, TX, NY, PA, GA, AL, FL8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20041029000716 WV Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 3 organizations
I20140912002089 VA Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 3 organizations
I20151029000551 TX Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 1 organization
I20170131000059 NY Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 3 organizations
I20190814000487 PA Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 1 organization
I20221213002058 GA Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 5 organizations
I20230517000513 AL Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 3 organizations
I20231214001588 FL Practitioner - Nurse Practitioner 8729040977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet Primary Care Physicians Southeast PCGroup PAC ID 3779497045, 71 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000

1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

601 E Altamonte Dr
Emergency Department
Altamonte Springs, FL 32701-4802
Phone (407) 303-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Services of New York, P.C. CurrentSince Jan 13, 2017 Accepting new patients
Medexpress Urgent Care, PC - Virginia Current Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Smoky Mountain Emergency Services, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince Apr 19, 2024 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Nov 26, 2018 Accepting new patients
Buffalo Emergency Associates LLP CurrentSince Jan 13, 2017 Accepting new patients
Emergency Services of Montgomery PC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Sep 9, 2015 Accepting new patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince May 19, 2005 Accepting new patients
Emergency Care Services of New York, P.C. CurrentSince Apr 15, 2018 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 12, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Nurse Practitioner CurrentSince Sep 7, 2022 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Nurse Practitioner CurrentSince Nov 9, 2022 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Oct 29, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC Nurse Practitioner CurrentSince Aug 31, 2023 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jul 12, 2019 Accepting new patients
Cherokee Emergency Services, Inc. Nurse Practitioner CurrentSince Jun 7, 2012 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
East River Medical, PLLC Family Past Accepting new patients
Medexpress Urgent Care Minnesota P.C. Past Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients
Carrington Health Center Past Accepting new patients

Locations (25 of 36)

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: robert.wynn.1@27404.direct.athenahealth.com
  • Direct secure messaging: robertwynn@normd.allscriptsdirect.net

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1972546794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 WHITE OAK DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-543-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 12th St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "24740",
            "country_code": "US",
            "telephone_number": "304-487-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21054A Timberlake Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245027327",
            "country_code": "US",
            "telephone_number": "434-239-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNN",
        "first_name": "ROBERT",
        "middle_name": "EUGEAN",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001692",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.