Individual provider Active NPI

Georjane Woodburn, NP-C

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1780084780
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP125840 Issued in TX
Practice address
814 Martin Rd
Amarillo, TX 79107-6814
Phone
(806) 351-7600
Fax
(806) 342-4789
NPI assigned
Aug 27, 2014
Last updated
Mar 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125840 TX
Nurse Practitioner 363L00000X AP125840 TX Primary

Addresses

Primary practice location

814 Martin Rd
Amarillo, TX 79107-6814

Mailing address

PO Box 848268
Dallas, TX 75284-8268
Phone (903) 416-1726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214001935 OK Practitioner - Nurse Practitioner 5193047413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

3701 N Martin Luther King Jr Blvd
St Simeons
Tulsa, OK 74106-6450
Phone (918) 215-2965

3701 N MLK Jr Blvd
Saint Simeon Community
Tulsa, OK 74106-6450
Phone (918) 425-3583

5701 W Britton Rd
Oklahoma City, OK 73132-2402
Phone (405) 773-8900

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Aug 1, 2021 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Aug 1, 2021 Accepting new patients
FMC Medical Foundation, Inc. Family Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

3434 Kentucky Pl
Bartlesville, OK 74006
Phone (918) 333-9000

1306 E College St
Broken Arrow, OK 74012
Phone (918) 251-3200

2300 W Broadway St
Collinsville, OK 74021
Phone (918) 371-2545

1410 N Choctaw St
Dewey, OK 74029
Phone (918) 534-3355

107 E Barclay St
Henryetta, OK 74437
Phone (918) 652-7021

212 N Antes Ave
Henryetta, OK 74437
Phone (918) 652-8797

112 S Woody Guthrie St
Okemah, OK 74859

5701 W Britton Rd
Oklahoma City, OK 73132
Phone (405) 773-8900

1307 R D Miller Dr
Okmulgee, OK 74447
Phone (918) 756-5611

5721 S Lewis Ave
Tulsa, OK 74105
Phone (918) 447-6447

8720 S 101st East Ave
Tulsa, OK 74133
Phone (918) 965-0101

300 S Seminole Ave
Wewoka, OK 74884
Phone (405) 257-6621

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1780084780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848268",
            "telephone_number": "903-416-1726",
            "fax_number": "903-416-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MARTIN RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791076814",
            "telephone_number": "806-351-7600",
            "fax_number": "806-342-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURN",
        "first_name": "GEORJANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125840",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP125840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.