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DR. JONATHAN STEPHEN WOOD MD NPI 1699055236


NPI Information

NPI: 1699055236
Provider Name: DR. JONATHAN STEPHEN WOOD, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4120 FIVE FORKS TRICKUM RD SW STE 102
LILBURN, GA
ZIP 30047
Phone: (770) 923-6400
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DR. Jonathan Stephen Wood, MD is a pediatrics in Lilburn, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jonathan Stephen Wood, MD NPI is 1699055236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4120 FIVE FORKS TRICKUM RD SW STE 102
LILBURN, GA
ZIP 30047-975
Phone: (770) 923-6400
Fax: (770) 676-9876

The NPI 1699055236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/26/2011 and was last updated on 5/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics76998GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003172167MEDICAIDGEORGIA
276998OTHERGEORGIAGEORGIA MEDICAL LICENSE
3003172167HMEDICAIDGEORGIA
4003172167JMEDICAIDGEORGIA
5003172167MMEDICAIDGEORGIA
6003172167NMEDICAIDGEORGIA
71707074OTHERGEORGIAWELLCARE
8003172167LMEDICAIDGEORGIA
906047829OTHERGEORGIAAMERIGROUP
10003172167KMEDICAIDGEORGIA
11003172167IMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.