Active NPI
Woundstar Healthcare LLC
- General Practice Physician
- Peachtree Corners, GA
National Provider Identifier
1336018423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.