Individual provider Active NPI

Kevin Edwin Woods, M.D., M.P.H

  • Gastroenterology Physician
  • Brookhaven, GA
National Provider Identifier
1851437065
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
68023 Issued in GA
Practice address
3925 Peachtree Rd NE Ste 200
Brookhaven, GA 30319-2982
Phone
(770) 400-9186
Fax
(404) 909-8655
NPI assigned
Jan 29, 2007
Last updated
May 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 68023 GA Primary

Addresses

Primary practice location

3925 Peachtree Rd NE Ste 200
Brookhaven, GA 30319-2982

Mailing address

3925 Peachtree Rd NE Ste 200
Brookhaven, GA 30319-2982
Phone (770) 400-9186

Other practice location 1

1365 Clifton Rd NE
Clinic B - Suite 1200
Atlanta, GA 30322-1013
Phone (404) 778-3184

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120918000891 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 9133377013 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Meharry Medical College School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Gi Associates LLCGroup PAC ID 0244631117, 2 clinicians
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

3925 Peachtree Rd NE
Suite 200
Brookhaven, GA 30319-2982
Phone (770) 400-9186

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy60
Upper gastrointestinal (GI) endoscopy for acid reflux183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68023GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Gastroenterology CurrentSince Aug 1, 2012 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Sep 1, 2015 Accepting new patients
Therapeutic Gi Associates, LLC Gastroenterology CurrentSince Apr 21, 2021 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1365 Clifton Rd NE
Ste 1200
Atlanta, GA 30322
Phone (404) 778-3184

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2020 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 350-7333

550 Peachtree St NE
Ste 1750
Atlanta, GA 30308
Phone (404) 881-8319

3925 Peachtree Rd NE
Ste 200
Brookhaven, GA 30319
Phone (404) 231-4231

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste 220
Newnan, GA 30265

62742 Collections Ctr Dr
Chicago, IL 60693

Interoperability endpoints

  • Direct secure messaging: kwoods145604@cityofhope.direct-ci.com

Organizations & group practices 3

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1851437065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE STE 200",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192982",
            "telephone_number": "770-400-9186",
            "fax_number": "404-909-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 PEACHTREE RD NE STE 200",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192982",
            "telephone_number": "770-400-9186",
            "fax_number": "404-909-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE",
            "address_2": "Clinic B - Suite 1200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "404-778-3184",
            "fax_number": "404-778-2578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KEVIN",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "68023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

Verify at the official NPI Registry.