Active NPI
Kalemah S Woolfolk, NP-C
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1508121351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN195585
- Practice address
- 868 York Ave SW
Atlanta, GA 30310-2750 - Phone
- (404) 752-1400
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN195585 | GA | Primary |
Addresses
Primary practice location
868 York Ave SW
Atlanta, GA 30310-2750
Mailing address
390 Park Haven LN
Tyrone, GA 30290-1723
Phone (404) 964-8328
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003127702C | Medicaid | GA | |
| 003127702B | Medicaid | GA | |
| 003127702A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctcasermc@ctcaallscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1508121351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 PARK HAVEN LN",
"city": "TYRONE",
"state": "GA",
"postal_code": "302901723",
"telephone_number": "404-964-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 YORK AVE SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303102750",
"telephone_number": "404-752-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLFOLK",
"first_name": "KALEMAH",
"middle_name": "S",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN195585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003127702C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003127702B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003127702A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctcasermc@ctcaallscriptsdirect.net",
"affiliation": "N",
"address_1": "390 Park Haven Ln",
"city": "Tyrone",
"state": "GA",
"country_code": "US",
"postal_code": "302901723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.