Woodland Medical PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WOODLAND MEDICAL PLLC

Practice address

6221 Shallowford Rd Ste 100
Chattanooga, TN 37421-1972

Phone

(423) 648-2053

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Coleen Carberry

Title

Manager

Phone

(423) 648-2053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1720565906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 SHALLOWFORD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211972",
            "telephone_number": "423-648-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "CARBERRY",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-648-2053"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara L Wood, LCSW
• Christina Mae Woodard, CRNA
• Elizabeth Suzanne Woodard, LPC
• Ivey Bob Woodard, ANP
• Lori A Woodard, CRNA
• Brandon Woodruff
• Kathryn Woodruff
• Yohunnah V. Woods-Moton, MA, LPC-MHSP
• Charles Reece Woods Jr., MD
• Diane Pojanowski Woods, PHARM.D.

• Multi-Specialty Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.