Individual provider Active NPI

Thomas William Wood, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1699923938
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
069278 Issued in GA
Practice address
980 Johnson Ferry Rd
Suite 880
Atlanta, GA 30342-1626
Phone
(404) 255-8304
NPI assigned
Aug 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 069278 GA Primary

Addresses

Primary practice location

980 Johnson Ferry Rd
Suite 880
Atlanta, GA 30342-1626

Mailing address

980 Johnson Ferry Rd Ste 880
Atlanta, GA 30342-1609
Phone (404) 847-0664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twood@ssa.nexusclinical.phimailbox.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20140927000296 GA Practitioner - General Surgery 8123248044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1110 W Peachtree St NW
Suite 810
Atlanta, GA 30309-3609
Phone (404) 300-2990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)20
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC Surgery CurrentSince Jun 1, 2019 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste A415
Alpharetta, GA 30005
Phone (678) 352-0254

1110 W Peachtree St NW
Ste 860
Atlanta, GA 30309
Phone (678) 538-1968

1110 W Peachtree St NW
Ste 810
Atlanta, GA 30309
Phone (404) 300-2990

2859 N Decatur Rd
Decatur, GA 30033
Phone (404) 329-0656

4800 Olde Towne Pkwy
Ste 110
Marietta, GA 30068
Phone (678) 297-9707

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

975 Johnson Ferry Rd
Ste 160
Sandy Springs, GA 30342
Phone (404) 235-7160

1100 Johnson Ferry Rd
Ste 410
Sandy Springs, GA 30342
Phone (404) 847-0664

980 Johnson Fy Rd NE
Ste 880
Sandy Springs, GA 30342
Phone (404) 255-8304

4298 W Atlanta Rd SE
Ste 320
Smyrna, GA 30080

Interoperability endpoints

  • Direct secure messaging: twood@ssa.nexusclinical.phimailbox.com

Organizations & group practices 1

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 4

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1699923938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD STE 880",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421609",
            "telephone_number": "404-847-0664",
            "fax_number": "404-250-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD",
            "address_2": "SUITE 880",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-255-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "069278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twood@ssa.nexusclinical.phimailbox.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "980 Johnson Ferry Rd",
            "address_2": "Suite 880",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.