Individual provider Active NPI

Aaron Blaine Woods

  • Physician Assistant
  • Allen, TX
National Provider Identifier
1407449960
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12385 Issued in NC
Practice address
1057 Liberty Pkwy
Allen, TX 75013-6449
Phone
(214) 578-4943
NPI assigned
Feb 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14490 TX
Physician Assistant 363A00000X 5173 TN
Physician Assistant 363A00000X 0010-12385 NC Primary

Addresses

Primary practice location

1057 Liberty Pkwy
Allen, TX 75013-6449

Mailing address

103 Charing PL
Mooresville, NC 28117-9172
Phone (214) 578-4943

Other practice location 1

1918 Randolph Rd Ste 580
Charlotte, NC 28207-1116
Phone (704) 384-9900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awoods310389@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220906001072 NC Practitioner - Physician Assistant 8022418490 Reassigns benefits to 3 organizations
I20230404001650 TN Practitioner - Physician Assistant 8022418490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 343-9800

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5173TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 21, 2023 Accepting new patients
Moses Cone Medical Services, Inc. Physician Assistant CurrentSince Nov 1, 2024 Accepting new patients
DLP Frye Medical Group LLC Physician Assistant CurrentSince Dec 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 21, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 28, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 28, 2022 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Dec 1, 2023 Accepting new patients
DLP Frye Medical Group LLC Physician Assistant Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1918 Randolph Rd
Ste 580
Charlotte, NC 28207
Phone (704) 333-9113

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

415 N Center St
Ste 102
Hickory, NC 28601
Phone (704) 327-9178

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

400 N State of Franklin Rd
Rm 2746
Johnson City, TN 37604
Phone (423) 431-2727

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

Interoperability endpoints

  • Direct secure messaging: awoods1079428@direct.novanthealth.org

Organizations & group practices 12

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1407449960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHARING PL",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179172",
            "telephone_number": "214-578-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 LIBERTY PKWY",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136449",
            "telephone_number": "214-578-4943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Randolph Rd Ste 580",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071116",
            "country_code": "US",
            "telephone_number": "704-384-9900",
            "fax_number": "704-384-9919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "AARON",
        "middle_name": "BLAINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14490",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5173",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awoods310389@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 N State Of Franklin Rd",
            "address_2": "Room 2746",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.