Individual provider Active NPI

Jonathan Dewey Woody, MD

  • Vascular Surgery Physician
  • Watkinsville, GA
National Provider Identifier
1770570871
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
056509 Issued in GA
Practice address
1357 Oconee Connector BLDG 300
Watkinsville, GA 30677-7314
Phone
(706) 549-8306
Fax
(706) 549-8351
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 056509 GA Primary

Addresses

Primary practice location

1357 Oconee Connector BLDG 300
Watkinsville, GA 30677-7314

Mailing address

1357 Oconee Connector BLDG 300
Watkinsville, GA 30677-7314
Phone (706) 549-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000494 GA Practitioner - Vascular Surgery 8426080672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical Associates of AthensGroup PAC ID 2668463290, 15 clinicians

Practice addresses (Care Compare)

1357 Oconee Connector
BLDG 300
Watkinsville, GA 30677-7314
Phone (706) 549-8306

Hospital & facility affiliations

  • Piedmont Home Health Home health agency, Athens, GA, CCN 117125
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006

Merit-based Incentive Payment System (MIPS)

Final score
92.37 of 100Reported as group
Quality
88.37
Promoting interoperability
100
Improvement activities
40
Cost
70.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal11
Leg revascularization (restoring blood flow)18
Removal of tissue15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Aug 2, 2005 Accepting new patients
University Surgical Associates of Athens Vascular Surgery CurrentSince Aug 1, 2005 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Aug 2, 2005 Accepting new patients
St. Mary'S Hospital, Inc. Past Accepting new patients
Athens Vein Clinic, PC Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

195 King Ave
Athens, GA 30606
Phone (706) 543-6261

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

195 King Ave
Ste B
Athens, GA 30606
Phone (706) 353-2727

1856 Thompson Bridge Rd
Ste 102
Gainesville, GA 30501
Phone (770) 535-1948

1010 Park Dr
Greensboro, GA 30642
Phone (706) 227-7850

1357 Oconee Connector
Bldg 300
Watkinsville, GA 30677
Phone (706) 250-7796

Organizations & group practices 5

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.

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1770570871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 OCONEE CONNECTOR BLDG 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777314",
            "telephone_number": "706-549-8306",
            "fax_number": "706-549-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 OCONEE CONNECTOR BLDG 300",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777314",
            "telephone_number": "706-549-8306",
            "fax_number": "706-549-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "JONATHAN",
        "middle_name": "DEWEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "056509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.