Active NPI
Eric Ryan Woods, DO
- Family Medicine Physician
- Yazoo City, MS
National Provider Identifier
1356848964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29238
- Practice address
- 823 Grand Ave
Yazoo City, MS 39194-3233 - Phone
- (662) 751-8289
- Fax
- (662) 751-8279
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29238 | MS | Primary |
Addresses
Primary practice location
823 Grand Ave
Yazoo City, MS 39194-3233
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210914002091 | MS | Practitioner - Family Practice | 7911255831 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- William Carey University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Medical Center - Yazoo, Inc.KDH Primary Care
Practice addresses (Care Compare)
823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 157-8158
Hospital & facility affiliations
- Mississippi Homecare of Jackson
- Adoration Home Health and Hospice Care Mississippi
- Baptist Medical Center-Yazoo
- Mississippi Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29238 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Past | Accepting new patients |
Locations
823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261
Interoperability endpoints
- ewoods192322@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Yazoo City, MS
- NPI 1063620870
-
- Rural Health Clinic/Center
- Yazoo City, MS
- NPI 1699066746
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Indianola, MS
- NPI 1154304491
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
Hospital
-
- Home Health Agency
- Jackson, MS
- NPI 1730373275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1356848964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 GRAND AVE",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "391943233",
"telephone_number": "662-751-8289",
"fax_number": "662-751-8279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "ERIC",
"middle_name": "RYAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "29238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yazoo City, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.