J&a Wood, LLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

059239 Issued in GA

Legal business name

J&A WOOD, LLC

Practice address

2724 Grey Fox CT
Haddock, GA 31033-6009

Phone

(478) 457-2323

Fax

(478) 457-2320

NPI assigned

Mar 10, 2011

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John L. Wood, M.D.

Title

Owner

Phone

(478) 932-8155

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1669770954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 GREY FOX CT",
            "city": "HADDOCK",
            "state": "GA",
            "postal_code": "310336009",
            "telephone_number": "478-932-8155",
            "fax_number": "478-932-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 GREY FOX CT",
            "city": "HADDOCK",
            "state": "GA",
            "postal_code": "310336009",
            "telephone_number": "478-457-2323",
            "fax_number": "478-457-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&A WOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-932-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "059239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1396764429",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Greer Groves, M.ED., CCC-SLP
• Raegan Maria Milholen
• River Edge Behavioral Health Center
• Carlton Stewart

• Geriatric Medicine (Family Medicine) Physician in Haddock, GA
• Providers in Haddock, GA by specialty
• Geriatric Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.