John Woodall, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

822 Chickamauga Ave
Rossville, GA 30741-1407

Phone

(706) 861-6458

Fax

(706) 866-6277

NPI assigned

Sep 22, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Metro Treatment of Georgia L P

  • Addiction (Substance Use Disorder) Counselor
  • Rossville, GA
  • NPI 1083595334

  Addiction (Substance Use Disorder)

  NPD
• Metro Treatment of Georgia, LP

  • Methadone Clinic
  • Fort Oglethorpe, GA
  • NPI 1982819595
  NPD (past)
• Neptune Clinical Group, Inc.

  • Methadone Clinic
  • Rossville, GA
  • NPI 1669572335

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1477062453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CHICKAMAUGA AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411407",
            "telephone_number": "706-861-6458",
            "fax_number": "706-866-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CHICKAMAUGA AVE",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307411407",
            "telephone_number": "706-861-6458",
            "fax_number": "706-866-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Voss, CAS
• Walker County BD of Education
• Phyllis Ann Weed
• Heather Wehunt, RD LDN
• Heather Ann Williams, CCC-SLP
• Melina Lovelady Wooten, CADC 2
• Russell Alan Wright

• All providers in Rossville, GA
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.