Bertha Lucia Woas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005483 Issued in GA

Practice address

2001 Antioch Rd
Dalton, GA 30721-4622

Phone

(706) 275-7660

NPI assigned

Apr 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: bwoas35326@evernorth.direct-ci.com

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302393600000",
    "number": "1841580958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 FOXCROFT TRL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675704",
            "telephone_number": "404-918-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ANTIOCH RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214622",
            "telephone_number": "706-275-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOAS",
        "first_name": "BERTHA",
        "middle_name": "LUCIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2011-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "005483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Bernard Windom II, MD
• Joellen Wingate, CNM
• Robi A Wingrove, OD
• Miranda Paige Wisenbaker, CPNP
• Paul H Wissler, DC
• James Francis Wojcik, MD
• Taylor Cansler Womack, OTR/L
• Theresa Marie Wong, MD
• Angela S Wood, MD
• Cynthia L Wood, M.S., CCC-SLP

• Medical Physician Assistant in Dalton, GA
• Providers in Dalton, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2011; 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.