Individual provider Active NPI

Pamela C. Woods, CNA

  • Nurse's Aide
  • Greenville, MS
National Provider Identifier
1770095663
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A017512 Issued in MS
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

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A017512OtherMSCERTIFICATION LICENCE

Other names 1

  • Pamela C. Woods Professional name

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

LicenseStateTypeSpecialty
A017512MSMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.