George C. Woodrick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012814 Issued in GA

Practice address

570 W Lanier Ave
Fayetteville, GA 30214-7649

Phone

(678) 836-2128

Fax

(770) 441-0299

NPI assigned

Feb 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255473401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 BUTTERNUT PL",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491395",
            "telephone_number": "816-210-4657",
            "fax_number": "770-441-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W LANIER AVE",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147649",
            "telephone_number": "678-836-2128",
            "fax_number": "770-441-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRICK",
        "first_name": "GEORGE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Wolf, OT
• Deirdre Dannette Womack
• Women's Community Care, PC
• Kelly Natasha Wood, MD
• Elizabeth G Woodall
• Demetria Woodruff, PMHNP
• Bryan L Woods, M.D.
• Rahim Wooley, M.D.
• Shanise Wooten
• Working Concepts Inc

• General Practice Dentistry in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.