Ellis Lamar Wynn Iv

SRNA | Nurse Anesthetist

1139 Picket Fence Dr, Evans
  Georgia, 30809-9158
229-854-9517
May or may not accept Medicare Nurse Anesthetist in Evans, Georgia.
Ellis Lamar Wynn Iv is a Evans, Georgia based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Ellis Lamar Wynn Iv is 267591 for Anesthesia Administration in Montana. his current practice location is 1139 Picket Fence Dr, Evans. Patients can reach him at 229-854-9517. Ellis Lamar Wynn Iv is SRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1801625421.
Ellis Lamar Wynn Iv is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.

Complete Profile:
Ellis Lamar Wynn Iv speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Nurse Anesthetist
Credentials: SRNA
Gender:Male
Practice Address:1139 Picket Fence Dr, Evans,
Georgia, 30809-9158
Phone:229-854-9517
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1801625421
NPI Enumeration Date: 31 Jul, 2024
NPI Last Update On: 22 Sep, 2025

Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellis Lamar Wynn Iv are as mentioned below.
License NumberSpecializationStateStatus
267591Anesthesia Administration MontanaPrimary
RN286537Registered Nurse GeorgiaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1636 S Castle Stone Sq,
Billings, Montana
Zip: 59106-9724
Phone Number: 229-854-9517
Fax Number: --
Patients can reach Ellis Lamar Wynn Iv at 1139 Picket Fence Dr, Evans, Georgia or can call to book an appointment on 229-854-9517.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.