Individual provider Active NPI

Derek A Woessner, MD

  • Sports Medicine (Family Medicine) Physician
  • Montgomery, AL
National Provider Identifier
1750476016
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD.28193 Issued in AL
Practice address
2257 Taylor Rd
Montgomery, AL 36117-7790
Phone
(334) 245-6605
Fax
(334) 821-3191
NPI assigned
Oct 4, 2006
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051194 GA
Sports Medicine (Family Medicine) Physician 207QS0010X MD.28193 AL Primary

Addresses

Primary practice location

2257 Taylor Rd
Montgomery, AL 36117-7790

Mailing address

PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3072

Other practice location 1

161 E University Dr
Auburn, AL 36832-5889
Phone (334) 826-2090

Other practice location 2

512 N Shady Ln
Dothan, AL 36303-2991
Phone (334) 699-5747

Other practice location 3

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

Other practice location 4

128 Mitylene Park Ln
Montgomery, AL 36117-3758
Phone (334) 245-6605

Other practice location 5

7449 Eastchase Pkwy
Montgomery, AL 36117-6846
Phone (334) 747-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070618000075 GA Practitioner - Sports MedicinePractitioner - Emergency MedicinePractitioner - Family Practice 2264531235 Reassigns benefits to 2 organizations
I20071017000664 AL Practitioner - Sports MedicinePractitioner - Family Practice 2264531235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hughston Medical Group, PCGroup PAC ID 7810320959, 16 clinicians

Practice addresses (Care Compare)

2257 Taylor Rd
Montgomery, AL 36117-7790
Phone (706) 324-6661

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone (706) 324-6661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.22 of 100Reported as individual
Quality
64.04
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
United Emergency Services, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 5, 2024 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine Current Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Past Accepting new patients

Locations

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

7449 Eastchase Pkwy
Montgomery, AL 36117
Phone (334) 747-4030

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

Interoperability endpoints

  • Direct secure messaging: derek.woessner.1@321.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1750476016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3072",
            "fax_number": "706-494-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177790",
            "telephone_number": "334-245-6605",
            "fax_number": "334-821-3191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E University Dr",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368325889",
            "country_code": "US",
            "telephone_number": "334-826-2090",
            "fax_number": "334-821-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 N Shady Ln",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032991",
            "country_code": "US",
            "telephone_number": "334-699-5747",
            "fax_number": "334-699-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6262 Veterans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319093540",
            "country_code": "US",
            "telephone_number": "706-324-6661",
            "fax_number": "706-494-3306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Mitylene Park Ln",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173758",
            "country_code": "US",
            "telephone_number": "334-245-6605",
            "fax_number": "334-821-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7449 Eastchase Pkwy",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361176846",
            "country_code": "US",
            "telephone_number": "334-747-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOESSNER",
        "first_name": "DEREK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051194",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "MD.28193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.