NPIMap

Organization Active NPI

TMC Woodland Family Healthcare, Inc.

Doing business as Woodland Family Healthcare

  • Rural Health Clinic/Center
  • Woodland, AL
National Provider Identifier
1467600916
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TMC WOODLAND FAMILY HEALTHCARE, INC.
Doing business as
Woodland Family Healthcare
Practice address
76 County Road 64
Suite 3
Woodland, AL 36280-5209
Phone
(256) 449-2001
Fax
(256) 449-2174
NPI assigned
Sep 8, 2008
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Clint Hoffman
Title
VP Operations
Phone
(770) 838-8845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD.9389 AL
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

76 County Road 64
Suite 3
Woodland, AL 36280-5209

Mailing address

100 Greenway Blvd FL 2
Carrollton, GA 30117-4338
Phone (770) 838-8710

Other identifiers 3

IdentifierTypeStateIssuer
105984MedicaidAL
510G700404OtherALGROUP PTAN
125316MedicaidAL

Other names 1

  • Woodland Family Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081030000426 AL Part B Supplier - Clinic/Group Practice 3173681566 Receives reassigned benefits from 8 practitioners
Practice locations: Woodland, AL; Wedowee, AL
O20201008001857 AL Part A Provider - Rural Health Clinic 3173681566 Practice locations: Woodland, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467600916. Details of each certification follow.

Rural health clinic certification: CCN 013481

Legal name
TMC WOODLAND FAMILY HEALTHCARE, INC.
Doing business as
WOODLAND FAMILY HEALTHCARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 30, 2019
Last certification
May 8, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 14, 2008 in GA
Enrollment address
76 County Road 64
Ste 3
Woodland, AL 36280-5211
Related CCNs
011306

Facilities connected through Provider of Services related, parent or unit certification numbers.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0915162Tanner Woodland Family Healthcare Cinic76 County Road 64, Suite 3, Woodland, AL 36280Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

76 County Road 64
Ste 3
Woodland, AL 36280
Phone (256) 449-2001

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carol Crews Individual Corporate OfficerChief Financial Official Jun 18, 2012
W-2 Managing EmployeeChief Financial Official Jun 18, 2012
Tanner Medical Center Alabama Inc Organization, Wedowee, AL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Apr 30, 2019 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1467600916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY BLVD FL 2",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174338",
            "telephone_number": "770-838-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 COUNTY ROAD 64",
            "address_2": "SUITE 3",
            "city": "WOODLAND",
            "state": "AL",
            "postal_code": "362805209",
            "telephone_number": "256-449-2001",
            "fax_number": "256-449-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC WOODLAND FAMILY HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "770-838-8845"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.9389",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105984",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "510G700404",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125316",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, AL

Sources for this page

Verify at the official NPI Registry.