Active NPI
John B Woods, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Memphis, TN
National Provider Identifier
1861452849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 21758
- Practice address
- 6401 Poplar Ave Ste 500
Memphis, TN 38119-4808 - Phone
- (901) 866-8630
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21758 | TN | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 21758 | TN | Primary |
Addresses
Primary practice location
6401 Poplar Ave Ste 500
Memphis, TN 38119-4808
Mailing address
1407 Union Ave Ste 700
Memphis, TN 38104-3641
Phone (901) 866-8622
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4164685 | Other | TN | BCBS |
| 4131246 | Other | TN | BCBS |
| 30821911 | Medicaid | TN | |
| 3082191 | Medicaid | TN | |
| 3082195 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21758 | TN | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D & L Wellness Inc | Current | Accepting new patients | |
| Cedar Recovery of Middle Tennessee, LLC | Current | Accepting new patients | |
| Cedar Recovery Center of Middle Tennessee, LLC | Addiction Medicine | Current | Accepting new patients |
| Cumberland Heights Professional Associates | Addiction Medicine | Past | Accepting new patients |
| Jackson Clinic PA | Past | Accepting new patients | |
| Innovative Health Medical Clinic Inc. | Past | Accepting new patients |
Locations
2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110
5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549
2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014
Interoperability endpoints
- jwoods26@yourcarecommunity.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Preventive Medicine) Physician
- Columbia, TN
- NPI 1801345285
-
- Community/Behavioral Health Agency
- Jackson, TN
- NPI 1619421567
-
- Clinic Pharmacy
- Lebanon, TN
- NPI 1497458111
-
- Addiction Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1992754139
-
- Family Medicine Physician
- Middleton, TN
- NPI 1639729320
-
- Durable Medical Equipment & Medical Supplies
- Jackson, TN
- NPI 1689443038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1861452849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE STE 700",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043641",
"telephone_number": "901-866-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 POPLAR AVE STE 500",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194808",
"telephone_number": "901-866-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "21758",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "TN",
"license": "21758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4164685",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4131246",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30821911",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3082191",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3082195",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.