Active NPI
Ashley Woodruff, NP
- Primary Care Nurse Practitioner
- Savannah, GA
National Provider Identifier
1518340496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN201629
- Practice address
- 1326 Eisenhower Drive
BLDG. 2
Savannah, GA 31406 - Phone
- (912) 527-5300
- Fax
- (912) 527-5154
- NPI assigned
- Jul 9, 2015
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN201629 | GA | Primary |
Addresses
Primary practice location
1326 Eisenhower Drive
BLDG. 2
Savannah, GA 31406
Mailing address
836 E. 65TH Street
Suite 22
Savannah, GA 31405
Phone (912) 819-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003189495C | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN201629 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJ SC Cardiology LLC | Current | Accepting new patients |
Locations
89 Interchange Dr
Richmond Hill, GA 31324
Phone (912) 527-5301
836 E 65th St
Ste 22
Savannah, GA 31405
Phone (912) 819-7878
1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Savannah, GA
- NPI 1245694496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1518340496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 E. 65TH STREET",
"address_2": "SUITE 22",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-819-7878",
"fax_number": "912-819-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DRIVE",
"address_2": "BLDG. 2",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31406",
"telephone_number": "912-527-5300",
"fax_number": "912-527-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "ASHLEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN201629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003189495C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.