Individual provider Active NPI

Judith A. Woods, FNP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1225231764
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN074147 Issued in GA
Practice address
4849 Paulsen St Ste 314
Savannah, GA 31405-4426
Phone
(912) 354-3363
Fax
(912) 354-3332
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN074147 GA Primary

Addresses

Primary practice location

4849 Paulsen St Ste 314
Savannah, GA 31405-4426

Mailing address

4849 Paulsen St Ste 314
Savannah, GA 31405-4426
Phone (912) 356-3363

Other identifiers 2

IdentifierTypeStateIssuer
000534652DMedicaidGA
P00406211OtherGARR MEDICARE

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
I20070907000003 GA Practitioner - Nurse Practitioner 2062505043 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eduard Docu MD, LLC CurrentSince Dec 7, 2012 Accepting new patients

Locations

340 Eisenhower Dr
Ste 910
Savannah, GA 31406
Phone (912) 352-4311

4849 Paulsen St
Ste 314
Savannah, GA 31405
Phone (912) 354-3363

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1225231764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 314",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054426",
            "telephone_number": "912-356-3363",
            "fax_number": "912-354-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 314",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054426",
            "telephone_number": "912-354-3363",
            "fax_number": "912-354-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JUDITH",
        "middle_name": "A.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN074147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000534652D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00406211",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.