TRAVIS WOODLEY


Address: 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040
Phone: 6782086146

TRAVIS WOODLEY (NPI# 1396274072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396274072
Entity Type Individual
Full Name TRAVIS WOODLEY
Credential CRNP
Practice Address 3970 Deputy Bill Cantrell Memorial Rd
Cumming
GA 30040
Practice Telephone 6782086146
Practice Fax Number 6782086138
Mailing Telephone 6782086146
Mailing Fax Number 6782086138
Enumeration Date 2017-06-07
Last Update Date 2019-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN202209 GA Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 1-118142 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1758 Park Pl Ste 401, Montgomery, AL 361061135 3342649191 3342649199

Office Location

Street Address 3970 DEPUTY BILL CANTRELL MEMORIAL RD
City CUMMING
State GA
Zip Code 30040

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942281761 Vikram Khetpal Specialist 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 2005-11-09
1386279362 Kimberly Lauren Wiley Nurse Practitioner 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 2020-03-10
1982247433 Laqueta Nelson Family Medicine 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 2019-10-28
1558838532 Abigail M Cobb Nurse Practitioner 3970 Deputy Bill Cantrell Memorial Rd, Ste 100, Cumming, GA 30040-1943 2018-10-29
1477932754 Alexis Catlett Family Medicine 3970 Deputy Bill Cantrell Memorial Rd, Suite 220, Cumming, GA 30040 2015-05-20
1518246222 Morrow Family Medicine, LLC Family Medicine 3970 Deputy Bill Cantrell Memorial Rd, Suite 150, Cumming, GA 30040 2011-08-11
1891081576 Carlos Calle-muller Internal Medicine 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 2011-06-22
1699066001 Adam Buntaine Internal Medicine 3970 Deputy Bill Cantrell Memorial Rd, Suite 100, Cumming, GA 30040 2011-04-20
1134355183 Scott R Beach Internal Medicine 3970 Deputy Bill Cantrell Memorial Rd, Ste 100, Cumming, GA 30040 2009-06-04
1164699435 John Cherian Internal Medicine 3970 Deputy Bill Cantrell Memorial Rd, Cumming, GA 30040 2008-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427684729 Am Nollenberger Counseling Counselor 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 2020-03-18
1497388904 Ben Allen Sanders Pharmacist Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 2020-02-13
1407415615 Jacqueline Small Nurse Practitioner 407 W Maple St # 101, Cumming, GA 30040 2019-06-11
1336706316 Mary Kathleen Hesidence Nurse Practitioner 81 Northside Dr, #100, Dawsonville, GA 30040 2019-05-24
1851958334 North Georgia Pathology Pathology 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 2019-05-21
1598320087 Emily Rebecca Downs Physician Assistant 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 2019-05-09
1215490057 Shine Speech Language Therapy LLC Speech-Language Pathologist 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 2019-04-09
1417430075 Ashley Michelle Nollenberger Counselor 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 2018-09-10
1518445410 Village Pediatrics At Vickery Pediatrics 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 2018-08-02
1306339841 Fukuzato Eyecare, Inc Optometrist 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 2018-06-09
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881200293 Cherry Garcia Fernandez Nurse Practitioner 3325 Amhurst Ct, Cumming, GA 30041-7329 2020-09-21
1508359548 Anna Choi Nurse Practitioner 2575 Peachtree Pkwy Ste 301, Cumming, GA 30041-7563 2018-06-13
1497267132 Amisha Patel Nurse Practitioner 960 Sanders Rd Ste 700, Cumming, GA 30041-6058 2017-11-03
1275072886 Megan Kinney Nurse Practitioner 4730 Ansley Ln, Cumming, GA 30040-5260 2017-02-15
1700141470 Michael Douglas Scott Nurse Practitioner 308 Oakwood Dr, Cumming, GA 30040-2140 2012-07-09
1366053431 Jeri Wells Lloyd Nurse Practitioner 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 2020-08-12
1386277036 Alpana Bala Jayadevan Nurse Practitioner 3970 Deputy Bill Cantrell Memorial Road, Suite 203, Cumming, GA 30040 2020-02-20
1821632605 Charley Whitmire Nurse Practitioner 1400 Northside Forsyth Dr, Cumming, GA 30041-7668 2019-11-04
1003469677 Megan Irene Bueltel Nurse Practitioner 1400 Northside Forsyth Dr Ste 240, Cumming, GA 30041-6017 2019-07-22
1366942906 Laura Patricia Martinez Nurse Practitioner 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 2018-02-20
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Competitor

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City CUMMING
Zip Code 30040

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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