Individual provider Active NPI

Cody Gunner Womack, ARNP

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1932758422
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003963 Issued in FL
Practice address
3581 SW Archer Rd Ste 40
Gainesville, FL 32608-2428
Phone
(358) 140-3260
NPI assigned
Sep 6, 2019
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003963 FL Primary

Addresses

Primary practice location

3581 SW Archer Rd Ste 40
Gainesville, FL 32608-2428

Mailing address

3581 SW Archer Rd Ste 40
Gainesville, FL 32608-2428
Phone (904) 900-5436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003963FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shands/Solantic Joint Venture, LLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1932758422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 SW ARCHER RD STE 40",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082428",
            "telephone_number": "904-900-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 SW ARCHER RD STE 40",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082428",
            "telephone_number": "358-140-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "CODY",
        "middle_name": "GUNNER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.