NPI age
11 years
Enumerated 2014-12-15
● Active
Type 1 · Individual
Beverly Wynne, APRN
Wynne is 1 of 3 nurse practitioner providers in Marietta and 1 of 85 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 85 active nurse practitioner providers in Georgia.
NPI age
11 years
≈ at median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2014 → 2026
2014-12Enumerated in NPPES
2014
2026
Where they practice
Practice location
677 Church St Ne
Marietta, GA 300601101
Mailing address
4120 Brigade Trl Nw
Kennesaw, GA 301527722
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 478 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.