Active NPI
Demetria Woodruff, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, GA
National Provider Identifier
1679464523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- GAA-NP003770
- Practice address
- 160 Carnegie PL
Fayetteville, GA 30214-3905 - Phone
- (470) 435-8028
- Fax
- (770) 670-5342
- NPI assigned
- Jul 10, 2025
- Last updated
- Jun 29, 2026
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | GAA-NP003770 | GA | Primary |
Addresses
Primary practice location
160 Carnegie PL
Fayetteville, GA 30214-3905
Mailing address
1121 Johnson Ferry Road
Suite 450
Marietta, GA 30068
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP003770 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metris True and Noble Minds LLC. | Psychiatric/Mental Health | Current | Accepting new patients |
| Avant Behavioral Consultants Inc | Current | Accepting new patients | |
| Greater Georgia Behavioral Health | Past | Accepting new patients |
Locations
1121 Johnson Ferry Rd
Ste 450
Marietta, GA 30068
Phone (770) 973-8911
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1407795214
-
- Psychiatry Physician
- Austell, GA
- NPI 1598250342
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, GA
- NPI 1568339554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1679464523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 JOHNSON FERRY ROAD",
"address_2": "SUITE 450",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CARNEGIE PL",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143905",
"telephone_number": "470-435-8028",
"fax_number": "770-670-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "DEMETRIA",
"name_prefix": "Ms.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "GAA-NP003770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.