Individual provider Active NPI

Charles J Woodall, MD

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1245223866
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MO17430 Issued in TN
Practice address
7685 Winchester Rd
Memphis, TN 38125-2202
Phone
(901) 752-6963
Fax
(901) 751-5540
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MO17430 TN Primary

Addresses

Primary practice location

7685 Winchester Rd
Memphis, TN 38125-2202

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Other identifiers 4

IdentifierTypeStateIssuer
140381OtherTNUNITED HEALTHCARE
4106687OtherTNAETNA
126153OtherTNBCBS, TN
2628850OtherTNCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000849 TN Practitioner - Family Practice 1557302122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMG Family Physicians Group Foundation IncGroup PAC ID 1557508983, 21 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

3091 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone (901) 260-9303

4625 Poplar Ave
Memphis, TN 38117-4419
Phone (901) 260-9307

7685 Winchester Rd
Suite 100
Memphis, TN 38125-2202
Phone (901) 260-9301

8040 Wolf River Blvd
Suite 103
Germantown, TN 38138-1773
Phone (901) 726-0200

8059 Stage Hills Blvd
Suite 104
Bartlett, TN 38133-4071
Phone (901) 383-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as group
Quality
74.9
Promoting interoperability
100
Improvement activities
40
Cost
77.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MO17430TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians Group PC Family Medicine CurrentSince Jun 20, 1997 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Baptist Memorial Medical Group Inc Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
BMG Family Physicians Group Foundation, Inc Family Medicine CurrentSince Mar 1, 2013 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

3091 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 260-9303

400 Market Blvd
Ste 101
Collierville, TN 38017
Phone (901) 260-9310

8110 Cordova Rd
Ste 111
Cordova, TN 38016

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

7685 Winchester Rd
Memphis, TN 38125
Phone (901) 260-9337

2900 Kirby Rd
Ste 6
Memphis, TN 38119
Phone (901) 759-4745

2859 Van Leer Dr
Memphis, TN 38133
Phone (901) 751-5513

7685 Winchester Rd
Ste 100
Memphis, TN 38125
Phone (901) 260-9301

Interoperability endpoints

  • Direct secure messaging: cwoodall15377@direct.bmhcc.org
  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/api/FHIR/R4/
  • Direct secure messaging: cwoodall24796@mlh.direct-ci.com

Organizations & group practices 4

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 8

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1245223866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252202",
            "telephone_number": "901-752-6963",
            "fax_number": "901-751-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MO17430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "140381",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4106687",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, TN",
            "identifier": "126153",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2628850",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.