Kenneth Keith Woodington, APRN in Decatur, GA

Kenneth Keith Woodington, APRN is a medicare enrolled "Nurse Practitioner" in Decatur, Georgia. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Emory Clinic Inc and his current practice location is 2675 N Decatur Rd Ste 200, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (044) 501-7040.

Kenneth Keith Woodington is licensed to practice in Georgia (license number RN238883) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164040036.

Contact Information

	Kenneth Keith Woodington, APRN
	2675 N Decatur Rd Ste 200, Decatur, GA 30033-6132
	(044) 501-7040
	(404) 501-7644

Map and Direction

Provider's Profile

Full Name	Kenneth Keith Woodington
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	2675 N Decatur Rd Ste 200, Decatur, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Keith Woodington graduated from nursing school in 2019

NPI Data:

NPI Number: 1164040036
Provider Enumeration Date: 07/08/2020
Last Update Date: 07/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9537587860
Enrollment ID: I20200917001816

Medical Identifiers

Medical identifiers for Kenneth Keith Woodington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164040036	NPI	-	NPPES
RN238883	Other	GA	RN / APRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN238883 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN238883 (Georgia)	Secondary
363L00000X	Nurse Practitioner	RN238883 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Emory Decatur Hospital	Decatur, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Emory Clinic Inc	8820901408	3084

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kenneth Keith Woodington allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Keith Woodington is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kenneth Keith Woodington, APRN 556 Scott Cir, Decatur, GA 30033-4723 Ph: (678) 710-5841	Kenneth Keith Woodington, APRN 2675 N Decatur Rd Ste 200, Decatur, GA 30033-6132 Ph: (044) 501-7040

Reviews and Comments

Nurse Practitioner Nurses in Decatur, GA

Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598
Ernest Leonard Gibson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886

Kenneth Keith Woodington, APRN - Medicare Nurse Practitioner in Decatur, GA