| Woodland Family Healthcare | |
|
76 County Road 64 Suite 3 Woodland AL 36280-5209 | |
| (256) 449-2001 | |
| (256) 449-2174 |
| Full Name | Woodland Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 County Road 64, Woodland, Alabama |
| Authorized Official Name and Position | Clint Hoffman (VP OPERATIONS) |
| Authorized Official Contact | 7708388845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Family Healthcare 100 Greenway Blvd Fl 2 Carrollton GA 30117-4338 Ph: (770) 838-8710 | Woodland Family Healthcare 76 County Road 64 Suite 3 Woodland AL 36280-5209 Ph: (256) 449-2001 |
| NPI Number | 1467600916 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 3173681566 |
|---|---|
| Medicare Enrollment ID | O20081030000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467600916 | NPI | - | NPPES |
| 105984 | Medicaid | AL | |
| 510G700404 | Other | AL | GROUP PTAN |
| 125316 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.9389 (Alabama) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Michael T Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194748731 PECOS PAC ID: 0446155022 Enrollment ID: I20031205000497 |
| Provider Name | Jeff L Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548283195 PECOS PAC ID: 7214833839 Enrollment ID: I20031212000169 |
| Provider Name | Shazib Khawaja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417901604 PECOS PAC ID: 8325031875 Enrollment ID: I20040811001350 |
| Provider Name | Shanda P Cotney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255588893 PECOS PAC ID: 2163588088 Enrollment ID: I20110518000535 |
| Provider Name | Gaye N Haynes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710041983 PECOS PAC ID: 8325948532 Enrollment ID: I20120914000105 |
| Provider Name | Helen Scharko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437588019 PECOS PAC ID: 9032493523 Enrollment ID: I20170301001146 |
| Provider Name | Yelena Ranika Makori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861620353 PECOS PAC ID: 2961653688 Enrollment ID: I20210505001315 |
| Provider Name | Whitney Michelle Hudman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831683747 PECOS PAC ID: 8921406802 Enrollment ID: I20211006003300 |
Wedowee Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 County Road 64, Woodland, AL 36280 Phone: 256-449-2110 Fax: 256-449-2174 |