Individual provider Active NPI

Elizabeth Grace Woolard

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1407738032
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN302617 Issued in GA
Practice address
830 King Ave
Athens, GA 30606-2838
Phone
(706) 425-2400
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN302617 GA Primary

Addresses

Primary practice location

830 King Ave
Athens, GA 30606-2838

Mailing address

830 King Ave
Athens, GA 30606-2838
Phone (706) 425-2400

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
I20250821000597 GA Practitioner - Nurse Practitioner 4284134610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Spine Center PCGroup PAC ID 1658388004, 6 clinicians

Practice addresses (Care Compare)

830 King Ave
Athens, GA 30606-2838
Phone (706) 425-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Spine Center PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1550 Timothy Rd
Ste 104
Athens, GA 30606
Phone (706) 425-2400

830 King Ave
Athens, GA 30606
Phone (706) 227-8999

1000 Cowles Clinic Way
Ste A-100
Greensboro, GA 30642
Phone (678) 625-5132

1000 Cowles Clinic Way
Ste CY300
Greensboro, GA 30642
Phone (706) 410-2111

930 Franklin Springs St
Ste E
Royston, GA 30662
Phone (706) 425-2400

Interoperability endpoints

  • Direct secure messaging: bwoolard@athensspinecenter.emadirect.md

Organizations & group practices 1

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": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1407738032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062838",
            "telephone_number": "706-425-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN302617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.