Active NPI
Pamela C. Woods, CNA
- Nurse's Aide
- Greenville, MS
National Provider Identifier
1770095663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A017512
- Practice address
- 2593 Airdale Dr
Greenville, MS 38703-1918 - Phone
- (662) 907-1200
- NPI assigned
- Oct 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A017512 | MS | Primary |
Addresses
Primary practice location
2593 Airdale Dr
Greenville, MS 38703-1918
Mailing address
PO Box 202
Greenville, MS 38702-0202
Phone (662) 907-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A017512 | Other | MS | CERTIFICATION LICENCE |
Other names 1
- Pamela C. Woods
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A017512 | MS | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Leaf Home Care, L.L.C | Past | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Greenville, MS
- NPI 1992219158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1770095663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387020202",
"telephone_number": "662-907-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2593 AIRDALE DR",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387031918",
"telephone_number": "662-907-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "PAMELA",
"middle_name": "C.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MS",
"license": "A017512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION LICENCE",
"identifier": "A017512",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "WOODS",
"middle_name": "C.",
"credential": "CNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.