Jimmie Daniel Woodall, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5101019223 Issued in MI

Practice address

1005 W Green St
Ste 301
Hastings, MI 49058-1712

Phone

(269) 945-8080

Fax

(269) 945-8081

NPI assigned

Jun 23, 2011

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Michigan State University College of Human Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jimmie.woodall.1@8589.direct.athenahealth.com
• Direct secure messaging: jwoodall50238@epic00.corewelldirect.org
• Direct secure messaging: jwoodall50238@epic00.shdirect.org

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.

• Pennock Hospital

  dba Corewell Health Pennock Hospital Professional

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1518186295
  Medicare reassignment Care Compare group NPD
• Barry-Eaton District Health

  • Public Health or Welfare Agency
  • Charlotte, MI
  • NPI 1982768032
  Medicare reassignment NPD
• Spectrum Health Primary Care Partners

  dba Corewell Health Medical Group West

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1235188673

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Medicare reassignment NPD
• Pennock Hospital

  • Orthopaedic Surgery Physician
  • Hastings, MI
  • NPI 1629494133
  NPD
• Pennock Hospital

  dba Specialist Group

  • Internal Medicine Physician
  • Hastings, MI
  • NPI 1750500435
  NPD
• Spectrum Health Primary Care Partners

  dba Corewell Health Medical Group West

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1689499667
  NPD
• Spectrum Health United

  dba Corewell Health Greenville Hospital Professional

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1063781342
  NPD
• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  NPD (past)

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

• Pennock Hospital

  dba Corewell Health Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1649566076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST",
            "address_2": "STE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581712",
            "telephone_number": "269-945-8080",
            "fax_number": "269-945-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "JIMMIE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101019223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwoodall50238@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "1005 W Green St",
            "address_2": "Ste 301",
            "city": "Hastings",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490581712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1005 W Green St",
            "address_2": "Ste 301",
            "city": "Hastings",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490581712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Elise-Nosanov Winsor, OD
• Camie Jean Wisinski, CNM
• Evan Craig Wisner, LLMSW
• Womens Health First PC
• Beverly J. Wood
• Woodlawn Meadows Retirement Village
• Woodlawn Meadows Retirement Village
• Woodlawn Meadows Retirement Village, LLC (Woodlawn Meadows Retirement Village - Laboratory)
• Sandra Woodmansee
• June Wright, LLMSW

• Obstetrics & Gynecology Physician in Hastings, MI
• Providers in Hastings, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
• 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.

Verify at the official NPI Registry.