Individual provider Active NPI

Julie Sue Wood, DNP

  • Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1255323721
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN6172 Issued in TN
Practice address
854 W James Campbell Blvd
Suite 100
Columbia, TN 38401-4659
Phone
(931) 490-7050
Fax
(931) 490-7051
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 APN6172 TN Primary

Addresses

Primary practice location

854 W James Campbell Blvd
Suite 100
Columbia, TN 38401-4659

Mailing address

854 W James Campbell Blvd
Suite 303
Columbia, TN 38401-4659
Phone (931) 548-0053

Other identifiers 4

IdentifierTypeStateIssuer
3732438MedicaidTN
3735169MedicaidTN
3341988MedicaidTN
4167850OtherBCBST

Other names 1

  • Mrs. Julie Wood Lott Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000197 TN Practitioner - Nurse Practitioner 5597788414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes Management AssociatesGroup PAC ID 6608130885, 2 clinicians

Practice addresses (Care Compare)

401 1St Ave
Mt Pleasant, TN 38474-1206
Phone (931) 325-5560

Merit-based Incentive Payment System (MIPS)

Final score
22.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN6172TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Management Associates CurrentSince Oct 18, 2017 Accepting new patients
Maury Emergency Physicians PLLC Past Accepting new patients
Maury Regional Hospital Past Accepting new patients
Maury Regional Ambulatory Care Center Inc. Past Accepting new patients

Locations

401 1st Ave
Mt Pleasant, TN 38474
Phone (931) 325-5560

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1255323721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-548-0053",
            "fax_number": "931-548-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W JAMES CAMPBELL BLVD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-490-7050",
            "fax_number": "931-490-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JULIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN6172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732438",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3735169",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3341988",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4167850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "LOTT",
            "middle_name": "WOOD",
            "prefix": "MRS.",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.