Individual provider Active NPI

Cynthia Lynn Woodham, FNP

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1063723674
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-040574 Issued in AL
Practice address
4370 W Main St
Dothan, AL 36305-4000
Phone
(334) 793-5000
Fax
(334) 615-7284
NPI assigned
Jun 29, 2010
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-040574 AL
Family Nurse Practitioner 363LF0000X 1-040574 AL Primary

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-4000

Mailing address

4370 W Main St
Dothan, AL 36305-4000
Phone (334) 793-5000

Other practice location 1

17925 US Hwy 431 South
Headland, AL 36345
Phone (334) 423-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000652 AL Practitioner - Nurse Practitioner 1557495827 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.86 of 100Reported as group
Quality
6.09
Improvement activities
40
Cost
81.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-040574ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Medical Solutions of Ozark, PL CurrentSince Apr 1, 2021 Accepting new patients
Headland Urgent Care, LLC CurrentSince May 1, 2025 Accepting new patients
Southern Alabama Physicians LLP Current Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Sep 30, 2012 Accepting new patients
App of Alabama Ed PLLC CurrentSince Jan 1, 2019 Accepting new patients
Flowers HB Medical Services LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

75 Remit Dr
Chicago, IL 60675

200 Corporate Blvd
Lafayette, LA 70508

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1063723674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054000",
            "telephone_number": "334-793-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054000",
            "telephone_number": "334-793-5000",
            "fax_number": "334-615-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17925 US Hwy 431 South",
            "address_purpose": "LOCATION",
            "city": "Headland",
            "state": "AL",
            "postal_code": "36345",
            "country_code": "US",
            "telephone_number": "334-423-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODHAM",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-040574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-040574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.