Individual provider · Type 1 NPI

Bruce Wynn, PA-C

Physician Assistant · Summerville, GA

NPI number 1497865711 Active · reactivated Jul 30, 2012

Practice location

11766 Highway 27, Suite A
Summerville, GA 30747-5989

Fax (706) 734-2877

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001146 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

About NPI 1497865711

Bruce Wynn, PA-C's National Provider Identifier is 1497865711, issued on Aug 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Summerville, GA. The record was last updated on Jun 10, 2026.