Individual provider Active NPI

Jonathan Bradley Woods, M.D.

  • Nephrology Physician
  • Wilmington, NC
National Provider Identifier
1346295417
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200100987 Issued in NC
Practice address
1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone
(910) 343-9800
Fax
(910) 343-8650
NPI assigned
May 24, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 200100987 NC Primary

Addresses

Primary practice location

1302 Medical Center Dr
Wilmington, NC 28401-7503

Mailing address

1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

Other identifiers 3

IdentifierTypeStateIssuer
5901607MedicaidNC
140C4OtherNCBC/BS-NC INDIVIDUAL #
2533198OtherNCUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000368 NC Practitioner - NephrologyPractitioner - Internal Medicine 6406818251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800

20 Medical Campus Dr NW
Suite 101
Supply, NC 28462-4094
Phone (910) 754-4544

227 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 346-2263

358 Northeast Blvd
Clinton, NC 28328-2424
Phone (910) 490-7000

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

608 A Airport Rd
Kinston, NC 28504-8210
Phone (252) 523-8513

800 Jefferson St
Suite 107
Whiteville, NC 28472-3702
Phone (910) 642-9888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Apr 1, 2019 Accepting new patients
WRMC Hospital Operating Corporation Past Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

20 Medical Campus Dr NW
Ste 101
Supply, NC 28462
Phone (910) 754-4544

800 Jefferson St
Ste 107
Whiteville, NC 28472
Phone (910) 642-9888

1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800

Interoperability endpoints

  • Direct secure messaging: jwoods@crhn.cernerdirect.com
  • Direct secure messaging: jwoods205819@direct.novanthealth.org
  • Direct secure messaging: jwoods22354@direct.acumenmd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1346295417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017503",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JONATHAN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200100987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901607",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-NC INDIVIDUAL #",
            "identifier": "140C4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2533198",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.