Charmisse' Montika Wood, LPN, EFDA

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN098665 Issued in GA

Practice address

218 Stonewall St
Cartersville, GA 30120-3628

Phone

(770) 386-1907

NPI assigned

May 20, 2022

Sex

Female

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

Practice roles

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.

• Cartersville Center, LLC

  • Methadone Clinic
  • Cartersville, GA
  • NPI 1386652022
  NPD (past)

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1740927771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 RED BUD RD NE APT H7",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011994",
            "telephone_number": "470-861-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 STONEWALL ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203628",
            "telephone_number": "770-386-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHARMISSE'",
        "middle_name": "MONTIKA",
        "credential": "LPN, EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN098665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lanette Wise-Mays
• Karen Patricia Wise, DDS
• Matthew Wiseman, DC
• Mackenzie B Wolfe, MSPT
• Women'S Surgical Center
• Kelly Anne Wood
• Woodright Industries
• Katie Ann Woods, FNP-C
• La Shanda Sherrell Woods, RMA/PHLEBOTOMIST
• Cristina Maschietto Woodward, LPC

• Licensed Practical Nurse in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.