Individual provider

Brett Wynn, M.D.

Emergency Medical Services (Emergency Medicine) Physician Emergency Medicine Physician Medicare enrolled

Brett Wynn, M.D. is an Emergency Medical Services (Emergency Medicine) Physician in Carrollton, GA, registered under NPI 1063478139. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 705 DIXIE ST, Carrollton, GA 30117. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

705 DIXIE ST, Carrollton, GA 30117 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
057269 GA Emergency Medical Services (Emergency… primary
37295 KY Emergency Medicine Physician

Licences are recorded in 2 states: GA, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
1951319508

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and Kentucky. The practice address on file is in Carrollton, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
057269
Specialty
Emergency Medical Services (Emergency…
Verify with the GA board →
KY Kentucky
Licence
37295
Specialty
Emergency Medicine Physician
Verify with the KY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Emergency Medical Services covers

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. NUCC Health Care Provider Taxonomy, code 207PE0004X
Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medical Services

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207PE0004X Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services 057269 GA primary
207P00000X Emergency Medicine Physician 37295 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063478139 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 26, 2006
Last updatedJun 8, 2015
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 705 DIXIE ST
Carrollton, GA 30117
(770) 836-9666
Mailing address 157 CARSON PL
Carrollton, GA 30117
Other identifiers 918889310A (GA)
This record was last updated on Jun 8, 2015, roughly 11 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063478139 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 4 7 8 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 8 7 7 1 6

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063478139?
NPI 1063478139 is the National Provider Identifier assigned to Brett Wynn, M.D. in Carrollton, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medical Services cover?
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
How do I contact Brett Wynn, M.D.?
The phone number on file with NPPES is (770) 836-9666, last updated Jun 8, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brett Wynn, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063478139 a valid number?
Yes. 1063478139 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.