Diana Woodall, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

80149 Issued in GA

Practice address

445 Winn Way
Decatur, GA 30030-1707

Phone

(140) 429-4383

NPI assigned

Apr 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dekalb Community Service Board

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1740324805
  NPD (past)

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1427412139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 HARDEE ST NE UNIT B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072603",
            "telephone_number": "404-482-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WINN WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301707",
            "telephone_number": "140-429-4383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Executive Park Dr NE # 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292206",
            "country_code": "US",
            "telephone_number": "404-778-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Northside Dr NW Ste A7",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182695",
            "country_code": "US",
            "telephone_number": "404-482-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "80149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Seahhong Wong, M.D.
• Cherry P Wongtrakool, M.D.
• Blessed Wonjah
• Tsha Wood-Tose
• Sara M Wood, PA-C
• Courtni Amaya Woodcox
• Kenneth Keith Woodington, APRN
• Aja Woods
• Courtney Woods, LCSW
• Lauren Ann Woods, RN

• Psychiatry Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.