Active NPI
Tawanna Woods, M.S. M.F.T.
- Contractor
- Hahira, GA
National Provider Identifier
1639627458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4093 Silver GLN
Hahira, GA 31632-3256 - Phone
- (229) 507-6760
- NPI assigned
- Sep 21, 2016
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
4093 Silver GLN
Hahira, GA 31632-3256
Mailing address
4093 Silver GLN
Hahira, GA 31632-3256
Phone (229) 507-6760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1639627458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4093 SILVER GLN",
"city": "HAHIRA",
"state": "GA",
"postal_code": "316323256",
"telephone_number": "229-507-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4093 SILVER GLN",
"city": "HAHIRA",
"state": "GA",
"postal_code": "316323256",
"telephone_number": "229-507-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "TAWANNA",
"name_prefix": "Miss",
"credential": "M.S. M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hahira, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.