Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLIS LAMAR WYNN IV, CRNA
ActiveELLIS LAMAR WYNN IV, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in EVANS, Georgia. NPI 1801625421 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · EVANS, GA
Registration Details
- NPI Number
- 1801625421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2024 (2.0417449660776 yrs)
- Last Updated
- Feb 3, 2026
- Licenses
-
RN286537 (GA)267591 (MT)
Practice Information
- Address
-
1139 PICKET FENCE DREVANS, GA, 308099158Browse GA providers · Browse ZIP 30809
- Phone
- 2298549517
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in EVANS, GA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPH RALPH STOUDER | CRNA | 1033191358 |
| MRS. CHRISTINE LEIGH FUTCH PICKRELL | CRNA | 1043553084 |
| LORI MARIE BOSWELL | CRNA | 1760801674 |
| MR. DARRELL RAGAN | CRNA | 1700284080 |
| EMMA COLLOM | — | 1710740469 |
| JUSTIN PAUL THOMPSON | — | 1114756962 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.