GLORIA JAMIELLEN WOOD (PA-C) – Physician Assistant, NPI 1184302663

GLORIA JAMIELLEN WOOD (PA-C) is a healthcare provider. based in Watkinsville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11681 (GA). The NPI Number for GLORIA JAMIELLEN WOOD (PA-C) is 1184302663

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA JAMIELLEN WOOD (PA-C)
NPI
1184302663
Phone
(706) 310-0320
Address
2061 EXPERIMENT STATION RD STE 505
Enumeration Date
6 July 2023
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
9335593698
Group Practice PAC ID
0840271235
Professional Enrollment ID
I20230921000199
Address ID
GA305012437GA605XXNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for GLORIA JAMIELLEN WOOD (PA-C)

  • 2061 EXPERIMENT STATION RD STE 505

    WATKINSVILLE, GA 306775327

    Phone: (706) 310-0320

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: LEO Pharma Inc. ($123).

Total Amount

$139

General + Research + Ownership

Payments

2

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LEO Pharma Inc.$123
PFIZER INC.$16
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: 2023-09-21

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
I20230921000199IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30677)

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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: 0840271235View full group profile
NameSpecialtyState
Nurse PractitionerGA
Dermatology, Micrographic Dermatologic Surgery (Mds)GA
Physician AssistantNC
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for GLORIA JAMIELLEN WOOD (PA-C)?
The registry entry for GLORIA JAMIELLEN WOOD (PA-C) shows NPI 1184302663.
Should I treat GLORIA JAMIELLEN WOOD (PA-C) as an active provider?
Patients and plans typically see GLORIA JAMIELLEN WOOD (PA-C) as active in the national extract.
What type of care does GLORIA JAMIELLEN WOOD (PA-C) provide?
GLORIA JAMIELLEN WOOD (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is GLORIA JAMIELLEN WOOD (PA-C) tied to Watkinsville, Georgia?
If you are local to Watkinsville, Georgia, GLORIA JAMIELLEN WOOD (PA-C) may be relevant to your search.
Can I export GLORIA JAMIELLEN WOOD (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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