TRAVIS WOODLEY (NPI# 1396274072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1758 Park Pl Ste 401, Montgomery, AL 361061135 | 3342649191 | 3342649199 |
Street Address |
3970 DEPUTY BILL CANTRELL MEMORIAL RD |
City | CUMMING |
State | GA |
Zip Code | 30040 |
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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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 Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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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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.