Active NPI
John Michael Woods, M.D.
- Obstetrics & Gynecology Physician
- Hattiesburg, MS
National Provider Identifier
1821093691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 26629
- Practice address
- 62 Old Airport Rd
Hattiesburg, MS 39401 - Phone
- (601) 544-4550
- Fax
- (601) 582-3373
- NPI assigned
- Jun 16, 2005
- Last updated
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D36589 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | 26629 | MS | Primary |
Addresses
Primary practice location
62 Old Airport Rd
Hattiesburg, MS 39401
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other practice location 1
1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5611
Phone (912) 435-6633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026900000 | Medicaid | MD | |
| DB6181 | Other | MD | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D36589 | MD | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- jwoods94209@directpatientrecord.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1821093691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1729",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394031729",
"telephone_number": "601-545-8700",
"fax_number": "601-450-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 OLD AIRPORT RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "39401",
"telephone_number": "601-544-4550",
"fax_number": "601-582-3373"
}
],
"practiceLocations": [
{
"address_1": "1061 Harmon Ave",
"address_2": "Ste 1D03",
"address_purpose": "LOCATION",
"city": "Fort Stewart",
"state": "GA",
"postal_code": "313145611",
"country_code": "US",
"telephone_number": "912-435-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D36589",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MS",
"license": "26629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026900000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB6181",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.