Individual provider Active NPI

Katina Woods

  • Licensed Practical Nurse
  • Hinesville, GA
National Provider Identifier
1144992470
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN081217 Issued in GA
Practice address
1518 Airport Rd
Hinesville, GA 31313-9439
Phone
(912) 559-5536
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN081217 GA Primary

Addresses

Primary practice location

1518 Airport Rd
Hinesville, GA 31313-9439

Mailing address

1518 Airport Rd
Hinesville, GA 31313-9439
Phone (912) 559-5536

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kwoods@mgrahaminc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN081217GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Malinda Graham and Associates CurrentSince Oct 10, 2021 Accepting new patients

Locations

1518 Airport Rd
Hinesville, GA 31313
Phone (912) 559-5536

Interoperability endpoints

  • Direct secure messaging: kwoods@mgrahaminc.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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1144992470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 AIRPORT RD",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313139439",
            "telephone_number": "912-559-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 AIRPORT RD",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313139439",
            "telephone_number": "912-559-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KATINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN081217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kwoods@mgrahaminc.com",
            "affiliation": "N",
            "endpointDescription": "Kwoods@mgrahaminc.com",
            "address_1": "1518 Airport Rd",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313139439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.