JENNIFER NICOLE WOODALL (FNP-C) – Nurse Practitioner, NPI 1093271124

JENNIFER NICOLE WOODALL (FNP-C) is a healthcare provider. based in Macon, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN255139 (GA). The NPI Number for JENNIFER NICOLE WOODALL (FNP-C) is 1093271124

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICOLE WOODALL (FNP-C)
NPI
1093271124
Phone
(229) 315-8484
Address
334 LINDSEY LN
Enumeration Date
13 February 2019
Last Update Date
28 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4782016500
Graduation Year
2018 (8 years ago)
PAC ID
2264796853
Group Practice PAC ID
7012914310
Professional Enrollment ID
I20190531001949
Address ID
GA312101822MA4035XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JENNIFER NICOLE WOODALL (FNP-C)

  • 334 LINDSEY LN

    MACON, GA 312172397

    Phone: (229) 315-8484

    Type: Mailing

  • 3720 DAVINCI CT STE 400

    NORCROSS, GA 300927625

    Phone: (770) 628-7004

    Type: Location

  • 3448 VINEVILLE AVE

    MACON, GA 312041867

    Phone: (478) 405-0045

    Fax: (478) 405-0054

    Type: Mailing

  • 3448 Vineville Ave

    Macon, GA 312041867

    Phone: (478) 405-0045

    Fax: (478) 405-0054

    Type: Location

  • 147 JAMES ST

    GRAY, GA 310326358

    Phone: (478) 405-0045

    Fax: (478) 405-0054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $683.

Total Amount is formed as General ($683) + Research ($0) + Ownership ($0) = $683.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Shockwave Medical, Inc ($165).

Total Amount

$683

General + Research + Ownership

Payments

31

Total payment records

General Amount

$683

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2019-05-31

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
I20190531001949INurse PractitionerGATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9558$0
View full utilization report →

Insurance plans in this area (ZIP 31217)

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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: 7012914310View full group profile
NameSpecialtyState
Internal MedicineFL
-GA
Physical Medicine And RehabilitationWY
Physical Medicine And RehabilitationNC
Nurse PractitionerGA
H O S P I T A L I S TFL
Physical Medicine And RehabilitationUT
Hospitalist, Internal Medicine, HospitalistGA
Physical Medicine And RehabilitationMN
Internal Medicine, Hospitalist, Internal Medicine, HospitalistSC

Reviews

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Frequently asked questions

Is JENNIFER NICOLE WOODALL (FNP-C) listed with a National Provider Identifier?
Yes — JENNIFER NICOLE WOODALL (FNP-C) has NPI 1093271124 on file in the registry.
Is JENNIFER NICOLE WOODALL (FNP-C) still an active registrant?
JENNIFER NICOLE WOODALL (FNP-C) carries an active NPI according to the public dataset.
How would a patient describe JENNIFER NICOLE WOODALL (FNP-C)'s focus?
For JENNIFER NICOLE WOODALL (FNP-C), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER NICOLE WOODALL (FNP-C) associated with Macon?
Public fields place JENNIFER NICOLE WOODALL (FNP-C) around Macon, Georgia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JENNIFER NICOLE WOODALL (FNP-C) is noted as February 13, 2019 where the registry provides it.

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