NPIMap

Individual provider Active NPI

Amanda R Woodcock, CNP

  • Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1831720242
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903789 Issued in MS
Practice address
1391 Broad Ave Ste a
Gulfport, MS 39501-2419
Phone
(228) 863-8868
Fax
(228) 863-8956
NPI assigned
Feb 4, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903789 MS Primary

Addresses

Primary practice location

1391 Broad Ave Ste a
Gulfport, MS 39501-2419

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 863-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409002595 MS Practitioner - Nurse Practitioner 2062841265 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

120 Stone Creek Blvd
Suite 300
Flowood, MS 39232-8211
Phone (769) 239-6141

1391 Broad Ave
Suite a
Gulfport, MS 39501-2419
Phone (228) 863-8868

2781 C T Switzer Sr Dr
Suite 100
Biloxi, MS 39531-4535
Phone (769) 243-6141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Jul 26, 2025 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport Nurse Practitioner CurrentSince Feb 24, 2020 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 24, 2020 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Sep 19, 2024 Accepting new patients
Dermaccel Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Winston Medical Clinic LLC PastSince Sep 19, 2024 Accepting new patients

Locations

1756 Popps Ferry Rd
Ste A
Biloxi, MS 39532
Phone (228) 865-3200

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

45000 E Aloha Dr
Ste A
Diamondhead, MS 39525
Phone (228) 822-6006

120 Stone Creek Blvd
Ste 300
Flowood, MS 39232
Phone (769) 239-6141

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1391 Broad Ave
Ste A
Gulfport, MS 39501
Phone (228) 669-6328

22 Millbranch Rd
Ste 200
Hattiesburg, MS 39402
Phone (855) 737-7475

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

Interoperability endpoints

  • Direct secure messaging: agoff@direct.mhg.com

Organizations & group practices 9

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.

Hospital & facility affiliations 65

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1831720242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-863-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 BROAD AVE STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012419",
            "telephone_number": "228-863-8868",
            "fax_number": "228-863-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.