TARA WOODALL


Address: 1120 15th St, Augusta, GA 30912-0004
Phone: 7067246100

TARA WOODALL (NPI# 1942692157) 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) 1942692157
Entity Type Individual
Full Name TARA WOODALL
Practice Address 1120 15th St
Augusta
GA 30912-0004
Mailing Address 1499 Walton Way
Ste. 1400
Augusta
GA 30901-2602
Practice Telephone 7067246100
Mailing Telephone 7067246100
Enumeration Date 2015-02-25
Last Update Date 2015-03-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
160860 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1120 15TH ST
City AUGUSTA
State GA
Zip Code 30912-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051556 Gyanendra Kumar Sharma Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2005-05-23
1912508532 Lacey Nichol Preston Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-11-02
1992302988 Victoria Mae Pregibon Physician Assistant 1120 15th St, Augusta, GA 30912-0004 2020-10-03
1275130239 Tanya Renee Hall Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-10-02
1144847864 Cassandra Marie Voong Internal Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-29
1245857002 Morgan Rowe Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2020-06-28
1639795990 Lauren Christine Bush Audiologist 1120 15th St, Augusta, GA 30912-0004 2020-06-23
1811513575 Ashley Danielle Fox Internal Medicine 1120 15th St, Augusta, GA 30912-0006 2020-06-18
1265058994 Matthew Craddock Psychiatry & Neurology 1120 15th St, Augusta, GA 30912-0004 2020-06-18
1437775301 Joseph John Arellano Emergency Medicine 1120 15th St, Augusta, GA 30912-0004 2020-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548885940 Hannah Gullickson Folsom Family Medicine 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 2020-06-11
1487278909 Robert Kennedy Internal Medicine Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 2020-06-01
1952968737 Kayla M. Lasota Pediatrics 11230 115th St Ae3042, Augusta, GA 30912 2019-05-28
1003379280 Kayla Cox Internal Medicine 1120 15th St Bi5070, Augusta, GA 30912 2019-04-13
1619435740 Justin Ray Mackert Student in an Organized Health Care Education/Training Program Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 2019-03-07
1417444167 Victor Celis Dentist John Wesley Gilbert Dr, Augusta, GA 30912 2018-04-18
1487157921 Julie Ann Matsen Student in an Organized Health Care Education/Training Program 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 2018-03-12
1497287031 Luke Yuung-jier Chang Ophthalmology 1120 15th St # Ba2720, Augusta, GA 30912 2017-04-02
1821537622 Lashawn Kay Boone Nurse Practitioner 1445 Harper St, Augusta, GA 30912 2017-02-14
1134675564 Arnab Saha Internal Medicine 1120 15 Th St., Augusta, GA 30912 2016-08-26
Find all providers in zip 30912

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518909662 Katrina Mcmanus Main-dorsky Nurse Practitioner 34 Gabriel Drive, Family Planning Association of Maine, Augusta, ME 04332 2006-06-12
1437137130 Linda Sue Young Nurse Practitioner 43 Gabriel Dr, Augusta, ME 04330-7852 2006-01-04
1508407438 Stephanie Nicole Stallings Nurse Practitioner 950 Laney Walker Blvd, Augusta, GA 30901-2960 2019-10-02
1184195216 Sheryl Campbell-ellis Nurse Practitioner 1215 George C Wilson Dr Ste 3b, Augusta, GA 30909-5706 2018-12-16
1528492568 Nancy Lee Hoehn Nurse Practitioner 1220 George C. Wilson Drive, Suite A, Augusta, GA 30909 2013-08-27
1447540711 Jennifer Albritton Sapp Nurse Practitioner 950 Laney Walker Blvd, Augusta, GA 30901-2960 2011-04-07
1619298015 Felicia Royster Nurse Practitioner 2100 Central Ave, Suite # 7, Augusta, GA 30904-6717 2010-06-20
1407173446 Dana Tucker Nurse Practitioner 1551 Augusta Chatham Rd, Augusta, KY 41002-9224 2010-04-30
1538287727 Alaba Risikat Adeshigbin Nurse Practitioner 1120 15th St, Augusta, GA 30912-0004 2007-03-26
1952434862 Meredith Ann Hunt Nurse Practitioner 43 Gabriel Dr, Augusta, ME 04330-7852 2007-03-13
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 30912

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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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