MRS. KELLY CARROLL WOOD (P.A.) – Physician Assistant, NPI 1710057344

MRS. KELLY CARROLL WOOD (P.A.) is a healthcare provider. based in Lynn haven, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 0010-09281 (NC). The NPI Number for MRS. KELLY CARROLL WOOD (P.A.) is 1710057344

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY CARROLL WOOD (P.A.)
NPI
1710057344
Phone
(805) 872-7078
Address
3154 MEADOW ST
Enumeration Date
9 November 2006
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507691668
Graduation Year
2002 (24 years ago)
PAC ID
7517929813
Group Practice PAC ID
5799800322
Professional Enrollment ID
I20041029000199
Address ID
FL324054542PA1900XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MRS. KELLY CARROLL WOOD (P.A.)

  • Meadow Street, The Hammocks, Lynn Haven, Bay County, Florida, 32444, United States

    LYNN HAVEN, FL 324445635

    Phone: (805) 872-7078

    Type: Mailing

  • 1900, Harrison Avenue, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324054542

    Phone: (850) 769-1668

    Type: Location

  • 1900 HARRISON AVE

    PANAMA CITY, FL 324054542

    Phone: (850) 769-1668

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,786.

Total Amount is formed as General ($1,786) + Research ($0) + Ownership ($0) = $1,786.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($468).

Total Amount

$1,786

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041029000199IPhysician AssistantFLTBD
I20191219002637IPhysician AssistantNCTBD

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
17003Destruction of precancer skin growth, 2-14 growths466110$0
99213Established patient office or other outpatient visit, 20-29 minutes272228$0
17000Destruction of precancer skin growth, 1 growth167145$0
17110Destruction of skin growth, 1-14 growths109104$0
11102Biopsy of related skin growth, first growth10487$0
View full utilization report →

Insurance plans in this area (ZIP 32444)

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Provider's Procedures

MRS. KELLY CARROLL WOOD (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2020
PHYSICIAN ASSISTANTFL17003Destruction of 2-14 skin growths8722

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: 5799800322View full group profile
NameSpecialtyState
Nurse PractitionerAL
D E R M A T O L O G YFL
Physician AssistantFL
Physician AssistantFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Nurse PractitionerAL
D E R M A T O L O G YFL
Family PracticeAL
-FL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What number should I use to identify MRS. KELLY CARROLL WOOD (P.A.) for billing?
Administrative and clinical systems typically use NPI 1710057344 for MRS. KELLY CARROLL WOOD (P.A.).
Quick check: is MRS. KELLY CARROLL WOOD (P.A.) active?
Public NPPES data shows MRS. KELLY CARROLL WOOD (P.A.) with an active NPI status right now.
How should patients interpret MRS. KELLY CARROLL WOOD (P.A.)'s specialty?
The extract shows Physician Assistant for MRS. KELLY CARROLL WOOD (P.A.). Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. KELLY CARROLL WOOD (P.A.)?
MRS. KELLY CARROLL WOOD (P.A.) shows a connection to Lynn Haven, Florida in registry-derived data.
Who maintains MRS. KELLY CARROLL WOOD (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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