Individual provider Active NPI

John Montgomery Woodyear,Jr, MD

  • Family Medicine Physician
  • Troy, NC
National Provider Identifier
1124110994
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9500278 Issued in NC
Practice address
507 N Main St
Troy, NC 27371-2709
Phone
(910) 576-0042
Fax
(910) 576-1442
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9500278 NC Primary

Addresses

Primary practice location

507 N Main St
Troy, NC 27371-2709

Mailing address

507 N Main St
Troy, NC 27371-2709
Phone (910) 576-0042

Other identifiers 2

IdentifierTypeStateIssuer
QPA139OtherSCMEDICAID
8988912MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041122001180 NC Practitioner - Family Practice 8123082104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

507 N Main St
Troy, NC 27371-2709
Phone (910) 576-0042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Associates of Montgomery County PA Family Medicine CurrentSince Aug 1, 1995 Accepting new patients

Locations

507 N Main St
Troy, NC 27371
Phone (910) 576-0042

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2847/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.woodyear.1@2847.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124110994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712709",
            "telephone_number": "910-576-0042",
            "fax_number": "910-576-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N MAIN ST",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273712709",
            "telephone_number": "910-576-0042",
            "fax_number": "910-576-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODYEAR,JR",
        "first_name": "JOHN",
        "middle_name": "MONTGOMERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9500278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "QPA139",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8988912",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.