Active NPI
Rebecca Sue Woods, FNP
- Family Nurse Practitioner
- Ringgold, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP002544
- Practice address
- 4700 Battlefield Pkwy Ste 200
Ringgold, GA 30736-5168 - Phone
- (706) 861-4990
- Fax
- (706) 841-0094
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 36662 | TN | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP002544 | GA | Primary |
Addresses
Primary practice location
4700 Battlefield Pkwy Ste 200
Ringgold, GA 30736-5168
Mailing address
1710 Williams St
Chattanooga, TN 37408-1724
Other names 1
- Rebecca Sue Clark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Battlefield Pkwy
Suite 200
Ringgold, GA 30736-5168
Phone (706) 861-4990
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Commonspirit-Memorial Hospital-North Georgia
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36662 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current | Accepting new patients |
Locations
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
4700 Battlefield Pkwy
Ste 200
Ringgold, GA 30736
Phone (706) 861-4990
Interoperability endpoints
- rebeccawoods@tnmhpf.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1124851639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 WILLIAMS ST",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374081724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 BATTLEFIELD PKWY STE 200",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307365168",
"telephone_number": "706-861-4990",
"fax_number": "706-841-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "REBECCA",
"middle_name": "SUE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "36662",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP002544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "CLARK",
"middle_name": "SUE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.