Individual provider Active NPI

Justin Charles Woods

  • Orthopaedic Trauma Physician
  • Fleming Island, FL
National Provider Identifier
1649614082
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
ME141406 Issued in FL
Practice address
4689 US Highway 17 Ste 12
Fleming Island, FL 32003-4831
Phone
(043) 759-7539
Fax
(904) 375-8380
NPI assigned
Apr 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 33893 AL
Orthopaedic Surgery Physician 207X00000X ME141406 FL
Orthopaedic Trauma Physician 207XX0801X ME141406 FL Primary

Addresses

Primary practice location

4689 US Highway 17 Ste 12
Fleming Island, FL 32003-4831

Mailing address

PO Box 370
Fortson, GA 31808-0370

Other practice location 1

2173 Normandie Dr
Montgomery, AL 36111-2728
Phone (334) 438-2642

Other identifiers 3

IdentifierTypeStateIssuer
XEI0GOtherFLFL BLUE
103539300MedicaidFL
LK096OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190729000912 FL Practitioner - Orthopedic Surgery 2163662859 Reassigns benefits to 1 organization
I20260430000635 AL Practitioner - Orthopedic Surgery 2163662859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Clinic Southeast PCGroup PAC ID 9234423971, 48 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-8500

2173 Normandie Dr
Montgomery, AL 36111-2728
Phone (334) 438-2642

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141406FLMDOrthopaedic Surgery Physician
33893ALMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic Southeast PC CurrentSince Jun 21, 2019 Accepting new patients
Hughston Clinic Southeast PC Orthopaedic Surgery CurrentSince Jun 21, 2019 Accepting new patients

Locations

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2173 Normandie Dr
Montgomery, AL 36111
Phone (334) 284-2355

4689 US Highway 17
Ste 12
Fleming Island, FL 32003
Phone (904) 375-9753

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

3627 University Blvd S
Ste 550
Jacksonville, FL 32216
Phone (904) 379-5986

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

25 Doctors Dr
#2
Panama City, FL 32405
Phone (850) 767-2455

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

309 N Mangoustine Ave
Unit G
Sanford, FL 32771
Phone (321) 363-1754

Interoperability endpoints

  • Direct secure messaging: justin.woods.1@321.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1649614082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 US HIGHWAY 17 STE 12",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034831",
            "telephone_number": "043-759-7539",
            "fax_number": "904-375-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2173 Normandie Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361112728",
            "country_code": "US",
            "telephone_number": "334-438-2642",
            "fax_number": "844-689-4206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JUSTIN",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-27",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AL",
            "license": "33893",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME141406",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "ME141406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "XEI0G",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103539300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LK096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.