Organization Active NPI

Woundstar Healthcare LLC

  • General Practice Physician
  • Peachtree Corners, GA
National Provider Identifier
1336018423
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUNDSTAR HEALTHCARE LLC
Practice address
7076 Peachtree Industrial Blvd
Peachtree Corners, GA 30071-1029
Phone
(425) 689-3812
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Mr. Reginald Taylord
Title
Authorized Official
Phone
(425) 689-3812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7076 Peachtree Industrial Blvd
Peachtree Corners, GA 30071-1029

Mailing address

7076 Peachtree Industrial Blvd
Peachtree Corners, GA 30071-1029

National Provider Directory

National Provider Directory

Locations

7076 Peachtree Industrial Blvd
Peachtree Corners, GA 30071
Phone (425) 689-3812

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1336018423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7076 PEACHTREE INDUSTRIAL BLVD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300711029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7076 PEACHTREE INDUSTRIAL BLVD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300711029",
            "telephone_number": "425-689-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDSTAR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "TAYLORD",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "425-689-3812",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.