Ronald Dwayne Woods, RD, CHES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-1905 Issued in MS

Practice address

1 Ashton Gardens Dr
Jackson, MS 39211-4275

Phone

(601) 818-4442

NPI assigned

Nov 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Eps on the Go II

  • Public Health & General Preventive Medicine Physician
  • Jackson, MS
  • NPI 1790331643

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1104427780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASHTON GARDENS DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114275",
            "telephone_number": "601-818-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ASHTON GARDENS DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114275",
            "telephone_number": "601-818-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "RONALD",
        "middle_name": "DWAYNE",
        "credential": "RD, CHES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D-1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ronald.woods@eagles.usm.edu",
            "affiliation": "N",
            "address_1": "1 Ashton Gardens Dr",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392114275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Austin Woods, CRNA
• Julia Woods, PHARMD
• Lashunda Woods
• Mark A Woods, OWNER
• Richey E. Woods, ATC
• Tanielle Woods
• Thomas Woods, PHARM. D.
• William Carl Woods III, MSN
• James Randall Woodson III, D.M.D.
• Veronica Woodson

• Registered Dietitian in Jackson, MS
• Providers in Jackson, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.