Jamie Denise Woods Green, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

083197 Issued in GA

Practice address

1277 Wellbrook Cir NE Ste B
Conyers, GA 30012-3973

Phone

(770) 922-5745

Fax

(678) 750-1406

NPI assigned

Mar 28, 2016

Last updated

Feb 3, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Jamie Denise Woods Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Conyers Pediatrics, PC

  • Pediatrics Physician
  • Conyers, GA
  • NPI 1831217157
  NPD (past)
• Piedmont Rockdale Hospital Inc.

  • General Acute Care Hospital
  • Conyers, GA
  • NPI 1306355680
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1841652922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 WELLBROOK CIR NE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123973",
            "telephone_number": "770-922-5745",
            "fax_number": "678-750-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 WELLBROOK CIR NE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123973",
            "telephone_number": "770-922-5745",
            "fax_number": "678-750-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS GREEN",
        "first_name": "JAMIE",
        "middle_name": "DENISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "083197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003180139B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WOODS",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Woodard
• Sherilyn Audrey Woodcome
• Gary E Woodham, PT
• Woodruff Holistic Health Centers, LLC (Conyers Holistic Chiropractic & Nutrition)
• Abigail Pauline Woodruff, PAC
• Chanterious Tykearia Woods, CPD
• Debrah Woods, RBT
• Latisha Woods
• Wanda Woods
• Heyward Woodward Jr., R.PH.

• Pediatrics Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.