NPIMap

Individual provider Active NPI

Karen E Wood, MD

  • Family Medicine Physician
  • Southport, NC
National Provider Identifier
1649340902
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200100626 Issued in NC
Practice address
3599 George II Hwy
Southport, NC 28461-7793
Phone
(910) 845-3244
Fax
(910) 845-3276
NPI assigned
Nov 8, 2006
Last updated
Mar 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200100626 NC Primary

Addresses

Primary practice location

3599 George II Hwy
Southport, NC 28461-7793

Mailing address

3599 George II Hwy
Southport, NC 28461-7793
Phone (910) 845-3244

Other identifiers 2

IdentifierTypeStateIssuer
018XXOtherNCBCBSNC
89132HXMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000482 NC Practitioner - Family Practice 9133229230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boiling Spring Lakes Family Medicine PCGroup PAC ID 6901868587, 3 clinicians

Practice addresses (Care Compare)

3599 George II Hwy
Southport, NC 28461-7793
Phone (910) 845-3244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca H. Brown, MD, PA Family Medicine Current Accepting new patients
Buckingham Family Medicine Family Medicine Past Accepting new patients

Locations

3599 George II Hwy
Southport, NC 28461
Phone (910) 845-3244

Interoperability endpoints

  • Direct secure messaging: karen.wood.1@16348.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1649340902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 GEORGE II HWY",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617793",
            "telephone_number": "910-845-3244",
            "fax_number": "910-845-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 GEORGE II HWY",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284617793",
            "telephone_number": "910-845-3244",
            "fax_number": "910-845-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200100626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "018XX",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132HX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.