Individual provider Active NPI

Claire Brooks Woodward, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1174387161
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN295633 Issued in GA
Practice address
650 Coliseum PL
Macon, GA 31217-3867
Phone
(478) 745-7935
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN295633 GA Primary
Registered Nurse 163W00000X RN295633 GA

Addresses

Primary practice location

650 Coliseum PL
Macon, GA 31217-3867

Mailing address

231 Pierce Ave
Macon, GA 31204-2419
Phone (478) 960-9730

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209002584 GA Practitioner - Nurse Practitioner 6507392982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon GYN/OB AssociatesGroup PAC ID 0244227189, 3 clinicians

Practice addresses (Care Compare)

650 Coliseum PL
Macon, GA 31217-3867
Phone (478) 745-7935

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN295633GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon GYN/OB Associates CurrentSince Aug 8, 2024 Accepting new patients
Macon GYN OB Associates II, LLC PastSince Jun 2, 2024 Accepting new patients

Locations

650 Coliseum Pl
Macon, GA 31217
Phone (478) 745-7935

Organizations & group practices 2

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 2

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1174387161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 PIERCE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042419",
            "telephone_number": "478-960-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 COLISEUM PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173867",
            "telephone_number": "478-745-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "CLAIRE",
        "middle_name": "BROOKS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN295633",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN295633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.