Michelle Woodard M.D LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

061022 Issued in GA

Legal business name

MICHELLE WOODARD M.D LLC

Practice address

2410 Hog Mountain Rd Ste 303
Watkinsville, GA 30677-4850

Phone

(706) 705-6070

Fax

(706) 705-6075

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Miss Melissa Barney

Title

Practice Manager

Phone

(706) 705-6070

Specialties & licenses 1

Addresses

Other names 1

• MDMDS1992LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGHCAD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Williams Coleman

  • Family Nurse Practitioner
  • Athens, GA
  • NPI 1831409853
  Medicare reassignment Care Compare group NPD
• Michelle H Woodard, M.D

  • Internal Medicine Physician
  • Watkinsville, GA
  • NPI 1912988288
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1154796563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 HOG MOUNTAIN RD STE 303",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774850",
            "telephone_number": "706-705-6070",
            "fax_number": "706-705-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 HOG MOUNTAIN RD STE 303",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774850",
            "telephone_number": "706-705-6070",
            "fax_number": "706-705-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE WOODARD M.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-705-6070",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "061022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDMDS1992LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medlink Georgia Inc
• Natalie Marie Meeks, MD
• Melissa a. Forschler, LMFT, LLC
• Kirk Alan Melville, MD
• Tara Ann Merritt, MD
• Taylor J Mildenhall, M.S. P.T.
• Caroline Stephens Miles, PA-C, ATC, LAT
• Ashley Renee Miley, DNP
• Lina Maria Millan, MD
• Andrew Lamar Miller, M.D.

• Preferred Provider Organization in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.