Carla Y Woods, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103000 Issued in FL

Practice address

581 NW 183Rd St
Miami Gardens, FL 33169-4469

Phone

(305) 651-1690

Fax

(305) 279-4916

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Chattanooga Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1891741971
  NPD (past)
• Chattanooga Spine & Rehabilitation PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1982859187
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1295764959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SISKIN PLZ",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031306",
            "telephone_number": "423-634-4226",
            "fax_number": "423-634-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 NW 183RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694469",
            "telephone_number": "305-651-1690",
            "fax_number": "305-279-4916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Siskin Plz",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374031306",
            "country_code": "US",
            "telephone_number": "423-634-4226",
            "fax_number": "423-634-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "CARLA",
        "middle_name": "Y",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000001232",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004942",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3663211",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4101780",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tameka Wilson
• Cynthia D Wirth, M.D.
• Desiree Elysa Wisdom
• Wonderland Behavioral Corp.
• Shateria Woodbury
• Brenda Michelle Wooten
• Worldsafe1St Inc.
• Paula Wright, CEO
• Frednica Wynn
• Xunda a. Gibson MD P.a.

• Physician Assistant in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.