DR. JAMES RANDALL WOODSON III (NPI# 1366644056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366644056 |
| Entity Type | Individual |
| Full Name | DR. JAMES RANDALL WOODSON III |
| Other Name | DR. RANDY WOODSON |
| Credential | D.M.D. |
| Practice Address |
11 Northtown Dr Suite 105 Jackson MS 39211-3699 |
| Practice Telephone | 6019886200 |
| Practice Fax Number | 6019886203 |
| Mailing Telephone | 6019886200 |
| Mailing Fax Number | 6019886203 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3200-01 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093117 | James David Woodson | Dentist | 200 Prison Rd, Enoree, SC 29335-9309 | 2006-08-21 |
| 1023038999 | James Woodson | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2006-07-20 |
| 1871512772 | James Corbitt Woodson | Dentist | 4810 S Croatan Hwy, Suite 270, Nags Head, NC 27959-8508 | 2006-07-19 |
| 1962491076 | James Woodson | Emergency Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2005-10-20 |
| Street Address |
11 NORTHTOWN DR SUITE 105 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-3699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801998471 | Jean S Dabit | Counselor | 11 Northtown Dr, Suite 205b, Jackson, MS 39211-3699 | 2006-09-02 |
| 1003331711 | Durastaff, Inc. | Registered Nurse | 11 Northtown Dr, Jackson, MS 39211-3699 | 2017-08-03 |
| 1417407404 | James R Woodson IIi Dmd | Dentist | 11 Northtown Dr, Suite 105, Jackson, MS 39211-3699 | 2016-10-13 |
| 1780978247 | Martha Mcneese Rosado | Counselor | 11 Northtown Dr, Suite 205 D, Jackson, MS 39211-3699 | 2011-06-01 |
| 1053465567 | Pam Stowers | Counselor | 11 Northtown Dr, Suite 205d, Jackson, MS 39211-3699 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584952 | Katherine Olivia Hughes | Dentist | 1189 Vann Dr, Jackson, TN 38305-6098 | 2020-07-01 |
| 1144845991 | Gregory Derrick Meredith | Dentist | 190 Water St Ste 2, Jackson, OH 45640-1384 | 2020-06-08 |
| 1033771852 | Robert E Scheddin | Dentist | 2046 W County Line Rd Ste 2, Jackson, NJ 08527-2034 | 2019-07-01 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1780145912 | Dr Lashawn Steptoe Family Dentistry | Dentist | 500 E Woodrow Wilson Ave Ste N, Jackson, MS 39216-4538 | 2019-03-29 |
| 1720571334 | Christina Holy Mcrae | Dentist | 3000 Old Canton Rd Ste 515, Jackson, MS 39216-4235 | 2018-06-08 |
| 1275024192 | Brianne Elizabeth Mezo | Dentist | 1500 W Parnall Rd, Jackson, MI 49201-8660 | 2018-05-26 |
| 1407343254 | West Tennessee Dentistry Pllc | Dentist | 1108 Whitehall St, Jackson, TN 38301-3730 | 2018-04-17 |
| 1073014338 | Helping Hands of Middle & West Tennessee | Dentist | 1408 N Highland Ave Ste 101, Jackson, TN 38301-3450 | 2018-02-22 |
| 1942730429 | Patrice Nicole Griffith | Dentist | 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 | 2017-06-15 |
| Find all providers in JACKSON | ||||
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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.