REGAN WOODHAM (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1467064089

REGAN WOODHAM (AGACNP-BC) is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 1-163019 (AL). The NPI Number for REGAN WOODHAM (AGACNP-BC) is 1467064089

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
REGAN WOODHAM (AGACNP-BC)
NPI
1467064089
Phone
(334) 305-0400
Address
1450 ROSS CLARK CIR STE 400
Enumeration Date
17 August 2020
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343050400
Graduation Year
2020 (6 years ago)
PAC ID
9335559012
Group Practice PAC ID
8022031475
Professional Enrollment ID
I20201109001708
Address ID
AL363014770DO1450XCIRX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for REGAN WOODHAM (AGACNP-BC)

  • 1450 ROSS CLARK CIR STE 400

    DOTHAN, AL 363014770

    Phone: (334) 305-0400

    Type: Mailing

  • 4370 W Main St

    Dothan, AL 363054000

    Phone: (334) 794-5000

    Type: Location

  • 1590 COUNTY ROAD 344

    OZARK, AL 363607732

    Phone:

    Type: Mailing

  • 4370 W MAIN ST

    DOTHAN, AL 363054000

    Phone: (334) 794-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 241 Open Payments records for all available years, with a total value of $5,168.

Total Amount is formed as General ($5,168) + Research ($0) + Ownership ($0) = $5,168.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($815).

Total Amount

$5,168

General + Research + Ownership

Payments

241

Total payment records

General Amount

$5,168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201109001708INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes579372$0
71046X-ray of chest, 2 views203163$0
99213Established patient office or other outpatient visit, 20-29 minutes115102$0
99203New patient office or other outpatient visit, 30-44 minutes6868$0
94010Test to measure expiratory airflow and volume5555$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022031475View full group profile
NameSpecialtyState
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Physician AssistantAL
Nurse PractitionerAL
Nurse PractitionerAL
Pulmonary DiseaseAL
Nurse PractitionerAL
Pulmonary DiseaseAL

Reviews

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Frequently asked questions

Can I verify REGAN WOODHAM (AGACNP-BC) with an NPI only?
You can start verification with NPI 1467064089 for REGAN WOODHAM (AGACNP-BC), then check state licensing separately.
Is REGAN WOODHAM (AGACNP-BC) still practicing?
REGAN WOODHAM (AGACNP-BC) is currently listed as active in the public NPI registry.
What is REGAN WOODHAM (AGACNP-BC)'s specialty?
The listing groups REGAN WOODHAM (AGACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is REGAN WOODHAM (AGACNP-BC) based?
REGAN WOODHAM (AGACNP-BC) is tied to Dothan, Alabama in the data we show; additional addresses may exist on the full record.
Why does REGAN WOODHAM (AGACNP-BC) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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