DR. CHARLENE R. WOOD (M.D.) – Public Health & General Preventive Medicine Physician, NPI 1356620504

DR. CHARLENE R. WOOD (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in Public Health & General Preventive Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 66879 (GA). The NPI Number for DR. CHARLENE R. WOOD (M.D.) is 1356620504

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLENE R. WOOD (M.D.)
NPI
1356620504
Phone
(770) 424-7125
Address
220 COBB PKWY N
Enumeration Date
5 August 2011
Last Update Date
11 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9286692137
Graduation Year
2006 (20 years ago)
PAC ID
0648407882
Group Practice PAC ID
0244405629
Professional Enrollment ID
I20161121002153
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. CHARLENE R. WOOD (M.D.)

  • 220 COBB PKWY N

    400

    MARIETTA, GA 300623581

    Phone: (770) 424-7125

    Fax: (770) 424-7127

    Type: Mailing

  • 215 SUMMER TERRACE LN

    ATLANTA, GA 303422662

    Phone: (520) 404-8836

    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: 2016-11-21

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
I20161121002153IPreventive MedicineTXTBD

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 30062)

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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: 0244405629View full group profile
NameSpecialtyState
O P T O M E T R YFL
Nurse PractitionerSD
Diagnostic RadiologyTX
Emergency MedicineCA
O P T O M E T R YAZ
P O D I A T R YND
P O D I A T R YAZ
-CA
Family PracticeKS
Emergency MedicineIN

Reviews

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Frequently asked questions

What is the registry number for DR. CHARLENE R. WOOD (M.D.)?
The registry entry for DR. CHARLENE R. WOOD (M.D.) shows NPI 1356620504.
Should I treat DR. CHARLENE R. WOOD (M.D.) as an active provider?
Patients and plans typically see DR. CHARLENE R. WOOD (M.D.) as active in the national extract.
What type of care does DR. CHARLENE R. WOOD (M.D.) provide?
DR. CHARLENE R. WOOD (M.D.)'s profile centers on Public Health & General Preventive Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLENE R. WOOD (M.D.) tied to Marietta, Georgia?
If you are local to Marietta, Georgia, DR. CHARLENE R. WOOD (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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