Organization Active NPI

Woundcure LLC

  • Family Medicine Physician
  • Cuthbert, GA
National Provider Identifier
1376407148
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOUNDCURE LLC
Practice address
23 Court St
Cuthbert, GA 39840-5964
Phone
(478) 621-2072
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Bolivia Traci Jenkins
Title
Ceo
Phone
(478) 621-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

23 Court St
Cuthbert, GA 39840-5964

Mailing address

23 Court St
Cuthbert, GA 39840-5964

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611002824 GA Part B Supplier - Clinic/Group Practice 1951873876 Receives reassigned benefits from 1 practitioner
Practice locations: Cuthbert, GA

National Provider Directory

National Provider Directory

Locations

23 Court St
Cuthbert, GA 39840
Phone (478) 621-2072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1376407148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 COURT ST",
            "city": "CUTHBERT",
            "state": "GA",
            "postal_code": "398405964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 COURT ST",
            "city": "CUTHBERT",
            "state": "GA",
            "postal_code": "398405964",
            "telephone_number": "478-621-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDCURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "BOLIVIA",
        "authorized_official_middle_name": "TRACI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-621-2072"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuthbert, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.