Active NPI
Justin David Wood, PA-C, RDN
- Surgical Physician Assistant
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0010-07491
- Practice address
- Duke University Hospital 2301 Erwin Road
Durham, NC 27710-1900 - Phone
- (919) 385-6941
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07491 | NC | |
| Medical Physician Assistant | 363AM0700X | 0010-07491 | NC | |
| Surgical Physician Assistant | 363AS0400X | 0010-07491 | NC | Primary |
Addresses
Primary practice location
Duke University Hospital 2301 Erwin Road
Durham, NC 27710-1900
Mailing address
916 Pirouette CT
Raleigh, NC 27606-4882
Phone (302) 750-9256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Duke University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Duke Health Cary PL
Cary, NC 27519-6760
10207 Cerny St
Raleigh, NC 27617-4880
Phone (919) 684-8111
2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
2351 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-07491 | NC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
6301 Herndon Rd
Durham, NC 27713
Phone (919) 620-5333
Interoperability endpoints
- jwood274753@direct.medicine.duke.edu
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 and National Provider Directory roles.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Gastroenterology Physician
- Raleigh, NC
- NPI 1780374884
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1518249689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 PIROUETTE CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276064882",
"telephone_number": "302-750-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DUKE UNIVERSITY HOSPITAL 2301 ERWIN ROAD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277101900",
"telephone_number": "919-385-6941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JUSTIN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C, RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07491",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-07491",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "0010-07491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.