Individual provider Active NPI

Amanda Marie Ferguson Wood, MD

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1114330420
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-11491 Issued in AR
Practice address
2708 S Rife Medical LN
Rogers, AR 72758-1452
Phone
(479) 338-5555
Fax
(479) 338-5533
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10051109 TX
Family Medicine Physician 207Q00000X R0161 TX
Family Medicine Physician 207Q00000X 56184 TN
Obstetrics Physician 207VX0000X E-11491 AR
Pediatrics Physician 208000000X E-11491 AR
Family Medicine Physician 207Q00000X E-11491 AR Primary

Addresses

Primary practice location

2708 S Rife Medical LN
Rogers, AR 72758-1452

Mailing address

2708 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-5555

Other names 1

  • Amanda Marie Ferguson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171101003055 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7012296197 Reassigns benefits to 3 organizations
I20180906002730 AR Practitioner - Family Practice 7012296197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite 130
Rogers, AR 72758-1455
Phone (479) 338-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56184TNMDFamily Medicine Physician
BP10051109TXMDFamily Medicine Physician
E-11491ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Camellia Foundation Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Medicos General PLLC Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 24, 2018 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 13, 2017 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Sep 24, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 13, 2017 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste 130
Rogers, AR 72758
Phone (479) 338-5555

2708 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-3030

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3030 Covington Pike
#200
Memphis, TN 38128
Phone (901) 432-5727

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

969 Tennessee Ave S
Parsons, TN 38363
Phone (731) 660-8755

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

Interoperability endpoints

  • Direct secure messaging: awood992116@directc.mercy.net

Organizations & group practices 7

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.

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1114330420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-5555",
            "fax_number": "479-338-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-5555",
            "fax_number": "479-338-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMANDA",
        "middle_name": "MARIE FERGUSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10051109",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "56184",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AR",
            "license": "E-11491",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-11491",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FERGUSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.