P Praxis·MD
● Active Type 1 · Individual

Mary E Wynn, MD

Family Medicine·Fort Stewart, GA· NPI 1356310486 · Enumerated 2006 · 20 years on NPI
Wynn is 1 of 31 family medicine providers in Fort Stewart and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2006-03-14
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
IL, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-11-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
1061 Harmon Ave, Suite 1d03
Fort Stewart, GA 313145641
📞 9124356633
Mailing address
1061 Harmon Ave, Suite 1d03
Fort Stewart, GA 313145641
📞 9124356633

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    IL license #36.12214OH license #35.061059 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (OH) 0837670
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1034 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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