Jerry C Woodard, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

16053 Issued in NC

Practice address

2605 Forest Hills Rd SW
Wilson, NC 27893-4448

Phone

(252) 243-7977

Fax

(252) 399-0514

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1932238169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7014",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278957014",
            "telephone_number": "252-243-7977",
            "fax_number": "252-399-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-243-7977",
            "fax_number": "252-399-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JERRY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "16053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0225G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989085",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micayla Dawn Wiseman-Fisher, PA-C
• C. Renee Worrell Wolfe, FNP-BC
• Dennis Alan Womble
• Carla Joann Wood, LPC
• Jade Woodard Pyburn, LCSW
• Janice Jordan Wooten, MS CCC SLP
• Hannah Worley, LCSW-A
• Kendria Lucas Wright, MSW, LCSW
• Nathan Barrett Wright, PA-C
• Shykeila Wright

• Specialist in Wilson, NC
• Providers in Wilson, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.