CHARLES DENNIS WOOLDRIDGE (MD) – Family Medicine Physician, NPI 1114959459
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,756 FAMILY PRACTICE in AL
Provider Addresses for CHARLES DENNIS WOOLDRIDGE (MD)
101 Kelley Blvd.
Suite D
Millbrook, AL 360542221
Phone: (334) 245-2600
Fax: (334) 245-2610
Type: Location
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone: (850) 803-3801
Type: Mailing
101 KELLEY BLVD STE D
MILLBROOK, AL 360542221
Phone: (334) 245-2600
Fax: (334) 245-2610
Type: Mailing
101 KELLEY BLVD.
SUITE D
MILLBROOK, AL 360542221
Phone: (334) 245-2600
Fax: (334) 245-2610
Type: Location
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 273-4508
Fax: (334) 273-4290
Type: Mailing
1595, East Main Street, Woodland Heights, Prattville, Autauga County, Alabama, 36066, United States
PRATTVILLE, AL 360665509
Phone: (334) 358-6540
Fax: (334) 358-6550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($67).
Total Amount
$100
General + Research + Ownership
Payments
6
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $67 |
| PFIZER INC. | $17 |
| Lilly USA, LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050920001253 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 358 | 70 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 326 | 97 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 248 | 115 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 185 | 118 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 149 | 73 | $0 |
Insurance plans in this area (ZIP 36054)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Nurse Practitioner | AL |
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