Active NPI
Joshua Woodin, P.A.-C
- Physician Assistant
- Yulee, FL
National Provider Identifier
1407921323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3715
- Practice address
- 463832 Sr 200
Yulee, FL 32097-3638 - Phone
- (904) 225-2311
- Fax
- (904) 225-8481
- NPI assigned
- Nov 24, 2006
- Last updated
- Nov 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002962 | GA | |
| Physician Assistant | 363A00000X | PA3715 | FL | Primary |
| Physician Assistant | 363A00000X | 101281 | NC | |
| Physician Assistant | 363A00000X | 003429 | NY |
Addresses
Primary practice location
463832 Sr 200
Yulee, FL 32097-3638
Mailing address
PO Box 44004
Jacksonville, FL 32231-4004
Phone (904) 376-3707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01431327 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2962 | GA | MD | Mental Health Counselor |
| 101281 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Past | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Past | Accepting new patients | |
| Baptist Primary Care Inc | Physician Assistant | Past | Accepting new patients |
| Early Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Physician Assistant
-
- Critical Access Hospital
- Blakely, GA
- NPI 1548214018
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1407921323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44004",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314004",
"telephone_number": "904-376-3707",
"fax_number": "904-225-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463832 SR 200",
"city": "YULEE",
"state": "FL",
"postal_code": "320973638",
"telephone_number": "904-225-2311",
"fax_number": "904-225-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODIN",
"first_name": "JOSHUA",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "002962",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3715",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101281",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "003429",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01431327",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.