Thomas Crandall Woodson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT000063 Issued in GA

Practice address

1704 Heritage Way
Stone Mountain, GA 30087-1800

Phone

(678) 508-0508

NPI assigned

Apr 10, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1720041742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HERITAGE WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871800",
            "telephone_number": "678-508-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HERITAGE WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871800",
            "telephone_number": "678-508-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "THOMAS",
        "middle_name": "CRANDALL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy D Witherspoon
• Tadeusz K Wodecki, MD
• Jo Anne Woodall, APRN
• Janay Lashaunda Wooden, HAIR REPLACEMENT SPE
• Erica Dionne Woods, LPC
• Wright Horizon
• Arthurine W Wright, LPC, NCC, CPCS
• Faith Joy Wright, LCSW
• Janine Lafrance Wright, M.A., CCC-SLP
• Metra Wright, M.D.

• Athletic Trainer in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.