Individual provider Active NPI

J Trevor Woodhams, MD

  • Ophthalmology Physician
  • Atlanta, GA
National Provider Identifier
1881652550
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
020627 Issued in GA
Practice address
1140 Hammond Dr NE
E5100
Atlanta, GA 30328-5338
Phone
(770) 394-4000
Fax
(770) 913-0841
NPI assigned
May 3, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 020627 GA Primary

Addresses

Primary practice location

1140 Hammond Dr NE
E5100
Atlanta, GA 30328-5338

Mailing address

1140 Hammond Dr NE
Atlanta, GA 30328-5554
Phone (770) 394-4000

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
I20050207000037 GA Practitioner - Ophthalmology 4789651167

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.01 of 100Reported as group
Quality
36.21
Improvement activities
40
Cost
75.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020627GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhams Laser & Lens Implant Center LLC PastSince May 10, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1881652550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285554",
            "telephone_number": "770-394-4000",
            "fax_number": "770-913-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR NE",
            "address_2": "E5100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285338",
            "telephone_number": "770-394-4000",
            "fax_number": "770-913-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHAMS",
        "first_name": "J",
        "middle_name": "TREVOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "020627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.