NPIMap

Individual provider Active NPI

Carmen Woolums, PA

  • Physician Assistant
  • Florence, KY
National Provider Identifier
1992756829
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA286 Issued in KY
Practice address
7300 Turfway Road
Florence, KY 41042-1375
Phone
(859) 212-4700
Fax
(859) 212-4761
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA286 KY Primary

Addresses

Primary practice location

7300 Turfway Road
Florence, KY 41042-1375

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 212-4700

Other practice location 1

7370 Turfway Road
Florence, KY 41042-4896
Phone (859) 212-4700

Other identifiers 1

IdentifierTypeStateIssuer
95000493MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000328 KY Practitioner - Physician Assistant 6002876711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400

7300 Turfway Rd
Florence, KY 41042-1375
Phone (859) 212-4700

PO Box
Suite 635283
Cincinnati, OH 45263-5283

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Apr 30, 2018 Accepting new patients
Summit Medical Group, Inc Physician Assistant CurrentSince Apr 30, 2018 Accepting new patients
University of Cincinnati Physicians Company, LLC Physician Assistant Past Accepting new patients
Summit Medical Group, Inc Physician Assistant Past Accepting new patients

Locations

7300 Turfway Rd
Florence, KY 41042
Phone (859) 212-4700

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

7370 Turfway Rd
Ste 100
Florence, KY 41042
Phone (859) 212-4700

7370 Turfway Rd
Florence, KY 41042
Phone (859) 212-5125

1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700

5522 Taylor Mill Rd
Taylor Mill, KY 41015
Phone (606) 491-2855

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

Interoperability endpoints

  • Direct secure messaging: cwoolums218201@direct-prd.stelizabeth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1992756829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-212-4700",
            "fax_number": "859-212-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 TURFWAY ROAD",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421375",
            "telephone_number": "859-212-4700",
            "fax_number": "859-212-4761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7370 Turfway Road",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424896",
            "country_code": "US",
            "telephone_number": "859-212-4700",
            "fax_number": "859-212-4761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLUMS",
        "first_name": "CARMEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000493",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.