Elizabeth Copelan Wood, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

898 College St
Monticello, GA 31064-1258

Phone

(706) 468-4519

Fax

(706) 468-6631

NPI assigned

Sep 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jasper Health Services Inc.Group PAC ID 7214901230, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jasper Memorial Hospital Hospital, Monticello, GA, CCN 111303

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmhwoodel@jmh.cernerdirect.com

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.

• Jasper Health Services, Inc.

  dba Jasper Memorial Hospital

  • Critical Access Hospital
  • Monticello, GA
  • NPI 1225031750
  Medicare reassignment Care Compare group
• Jasper Health Services Inc.

  dba Primary Care Center North

  • Critical Access Hospital Clinic/Center
  • Monticello, GA
  • NPI 1275314767
  NPD

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

• Jasper Health Services, Inc.

  dba Jasper Memorial Hospital

  • Critical Access Hospital
  • Monticello, GA
  • NPI 1225031750
  Care Compare affiliation

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1356659825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 COLLEGE ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641258",
            "telephone_number": "706-468-4519",
            "fax_number": "706-468-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 COLLEGE ST",
            "city": "MONTICELLO",
            "state": "GA",
            "postal_code": "310641258",
            "telephone_number": "706-468-4519",
            "fax_number": "706-468-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELIZABETH",
        "middle_name": "COPELAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-18",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE",
            "identifier": "7733",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmhwoodel@jmh.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "adt",
            "address_1": "898 College St",
            "city": "Monticello",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310641258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gurbax Soni
• Mary Elizabeth Summitt, DC
• Robert Vandevoort
• Venture Medical Associates LLC
• W Kenny Blake MD LLC

• Physician Assistant in Monticello, GA
• Providers in Monticello, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.