Individual provider Active NPI

Maria C Wood, PA-C

  • Medical Physician Assistant
  • Chattanooga, TN
National Provider Identifier
1366417776
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA575 Issued in TN
Practice address
2200 E 3Rd St
Suite 100
Chattanooga, TN 37404-2744
Phone
(423) 648-2388
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA575 TN Primary

Addresses

Primary practice location

2200 E 3Rd St
Suite 100
Chattanooga, TN 37404-2744

Mailing address

PO Box 440100
Nashville, TN 37244-0100
Phone (423) 648-2388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20050119000344 TN Practitioner - Physician Assistant 9739138595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
575TNMDBehavioral Analyst
PA575TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Sep 3, 2016 Accepting new patients
Tennessee Oncology PLLC CurrentSince Sep 3, 2016 Accepting new patients
Chattanooga GYN-Oncology, LLC Past Accepting new patients

Locations

979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796

1032 McCallie Ave
Ste 200
Chattanooga, TN 37403
Phone (423) 693-2400

2200 E 3rd St
Ste 100
Chattanooga, TN 37404
Phone (423) 648-2388

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

300 20th Ave N
Ste 301
Nashville, TN 37203
Phone (615) 284-2400

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1366417776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440100",
            "telephone_number": "423-648-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 3RD ST",
            "address_2": "SUITE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042744",
            "telephone_number": "423-648-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.