Organization Active NPI

Wynns Health Services LLC

  • Community/Retail Pharmacy
  • Griffin, GA
National Provider Identifier
1972593341
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE006081 Issued in GA
Legal business name
WYNNS HEALTH SERVICES LLC
Practice address
536 S 8TH St
Griffin, GA 30224-4212
Phone
(770) 227-9432
Fax
(770) 229-4078
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Annette W Duncan, RPH, PHARMDNPI 1396919650
Title
Pharmacist
Phone
(770) 227-9432

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHRE006081 GA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

536 S 8TH St
Griffin, GA 30224-4212

Mailing address

536 S 8TH St
Griffin, GA 30224-4212
Phone (770) 227-9432

Other identifiers 2

IdentifierTypeStateIssuer
000259806AMedicaidGA
2014794OtherPK

Other names 1

  • Wynns Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080519000504 GA Part B Supplier - Other 0547339459 Practice locations: Griffin, GA
O20210326001783 GA DME Supplier - PharmacyDME Supplier - Prosthetic Personnel 8224445838 Practice locations: Griffin, GA
O20210407000594 GA Part B Supplier - Pharmacy 8224445838 Practice locations: Griffin, GA

National Provider Directory

National Provider Directory
Tax ID family
Wynns Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

536 S 8th St
Griffin, GA 30224
Phone (770) 227-9432

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1972593341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244212",
            "telephone_number": "770-227-9432",
            "fax_number": "770-229-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244212",
            "telephone_number": "770-227-9432",
            "fax_number": "770-229-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-227-9432",
        "authorized_official_credential": "RPH, PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006081",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000259806A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2014794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wynns Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wynns Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.