Individual provider Active NPI

Sheena Nichole Wood, NP-C

  • Primary Care Nurse Practitioner
  • Rome, GA
National Provider Identifier
1396378550
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN239747 Issued in GA
Practice address
302 Shorter Ave NW
Rome, GA 30165-4268
Phone
(706) 291-3700
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN239747 GA Primary

Addresses

Primary practice location

302 Shorter Ave NW
Rome, GA 30165-4268

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-5900

Other names 1

  • Sheena Nichole Womack Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200409003468 GA Practitioner - Nurse Practitioner 5193154292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

302 Shorter Ave NW
Rome, GA 30165-4268
Phone (706) 291-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN239747GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Mar 1, 2020 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

251 Highway 53 E
Calhoun, GA 30701
Phone (706) 602-8200

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-0029

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

1650 Chattahoochee Dr
Rockmart, GA 30153
Phone (770) 684-6100

302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700

330 Turner McCall Blvd SW
Ste 103
Rome, GA 30165
Phone (706) 509-5620

4159 Martha Berry Hwy NW
Rome, GA 30165
Phone (706) 232-8477

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

11766 Highway 27
Summerville, GA 30747
Phone (706) 857-1010

48 Hills Creek Rd
Taylorsville, GA 30178
Phone (770) 684-8700

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1396378550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654268",
            "telephone_number": "706-291-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SHEENA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN239747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "WOMACK",
            "middle_name": "NICHOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.