Active NPI
DRS. Woodall, Wilson & Manley, LLP
- Family Medicine Physician
- Barnesville, GA
National Provider Identifier
1881862191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 022917
- Legal business name
- DRS. WOODALL, WILSON & MANLEY, LLP
- Practice address
- 101 Houston St
Barnesville, GA 30204-1660 - Phone
- (770) 358-1961
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Woodall, M.D.
- Title
- Partner, Physician
- Phone
- (770) 358-1961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 022917 | GA | Primary |
Addresses
Primary practice location
101 Houston St
Barnesville, GA 30204-1660
Mailing address
101 Houston St
Barnesville, GA 30204-1660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300031017A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Houston St
Barnesville, GA 30204
Phone (706) 358-1961
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Barnesville, GA
- NPI 1023105723
-
- Family Medicine Physician
- Barnesville, GA
- NPI 1346337052
-
- Family Medicine Physician
- Barnesville, GA
- NPI 1467549170
-
- Family Nurse Practitioner
- Barnesville, GA
- NPI 1205277993
-
- Family Nurse Practitioner
- Barnesville, GA
- NPI 1972301042
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1023503760
-
- Family Nurse Practitioner
- Barnesville, GA
- NPI 1942295431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1881862191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HOUSTON ST",
"city": "BARNESVILLE",
"state": "GA",
"postal_code": "302041660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HOUSTON ST",
"city": "BARNESVILLE",
"state": "GA",
"postal_code": "302041660",
"telephone_number": "770-358-1961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. WOODALL, WILSON & MANLEY, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "WOODALL",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "PARTNER, PHYSICIAN",
"authorized_official_telephone_number": "770-358-1961",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "022917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300031017A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barnesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.