DR. JUSTIN TREVOR WOODSON (MD) – Diagnostic Radiology Physician, NPI 1720058951
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
579 DIAGNOSTIC RADIOLOGY in AL
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Provider Addresses for DR. JUSTIN TREVOR WOODSON (MD)
Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States
FORT RUCKER, AL 36362
Phone: (334) 255-7387
Fax: (334) 255-7716
Type: Location
627 Mountain Pine Dr
Cary, NC 275199616
Phone: (301) 512-0017
Type: Location
1001 Sam Perry Blvd
Fredericksburg, VA 224014453
Phone: (540) 741-5610
Type: Location
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT LIBERTY, NC 283100001
Phone: (301) 512-0017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20240422000821 | I | Diagnostic Radiology | NC | TBD |
| I20240923003263 | I | Diagnostic Radiology | WA | TBD |
| I20241126000266 | I | Diagnostic Radiology | CO | TBD |
| I20250612003176 | I | Diagnostic Radiology | VA | TBD |
| I20251023001304 | I | Diagnostic Radiology | TX | TBD |
| I20251210002260 | I | Diagnostic Radiology | MD | TBD |
| I20251210003351 | I | Diagnostic Radiology | DC | TBD |
| I20260204003376 | I | Diagnostic Radiology | PA | TBD |
| I20260216000579 | I | Diagnostic Radiology | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physician Assistant | VA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MI | |
| G A S T R O E N T E R O L O G Y | WI | |
| Physician Assistant | VA | |
| Internal Medicine | DC | |
| - | VA | |
| General Surgery | DC | |
| Physician Assistant | VA |
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