Individual provider Active NPI

Gayla Woodson, NP

  • Pediatric Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1245656768
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN192045 Issued in GA
Practice address
1276 McConnell Dr Ste C
Decatur, GA 30033-3506
Phone
(678) 928-4471
Fax
(470) 260-4391
NPI assigned
Mar 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN192045 GA Primary

Addresses

Primary practice location

1276 McConnell Dr Ste C
Decatur, GA 30033-3506

Mailing address

2600 Milscott Dr Apt 2503
Decatur, GA 30033-6045
Phone (678) 699-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN192045GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcura Health, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Medcura Health, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Healing Hands Primary Healthcare, LLC Current Accepting new patients
Medcura Health, Inc. Past Accepting new patients
Kids & Teens Primary Healthcare Past Accepting new patients

Locations

1276 McConnell Dr
Ste C
Decatur, GA 30033
Phone (404) 321-1441

5582 Memorial Dr
Stone Mountain, GA 30083
Phone (404) 513-9965

770 Village Square Dr
Stone Mtn, GA 30083
Phone (404) 298-7658

Interoperability endpoints

  • Direct secure messaging: gayla.woodson@cinq-nyipa.medentdirect.com

Organizations & group practices 5

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": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1245656768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MILSCOTT DR APT 2503",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336045",
            "telephone_number": "678-699-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 MCCONNELL DR STE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333506",
            "telephone_number": "678-928-4471",
            "fax_number": "470-260-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "GAYLA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN192045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.