BOLAN P WOODWARD (MD) – Obstetrics & Gynecology Physician, NPI 1699851337

BOLAN P WOODWARD (MD) is a healthcare provider. based in Valdosta, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 20851 (GA). The NPI Number for BOLAN P WOODWARD (MD) is 1699851337

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
BOLAN P WOODWARD (MD)
NPI
1699851337
Phone
(229) 241-2800
Address
220 NORTHSIDE DRIVE
Enumeration Date
27 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
8527966688
Group Practice PAC ID
8729059043
Professional Enrollment ID
I20110420000473
Address ID
GA316021858Va220XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for BOLAN P WOODWARD (MD)

  • Florida Institute for Reproductive Medicine, 220, Northside Drive, Joree Springs, Valdosta, Lowndes County, Georgia, 31602, United States

    VALDOSTA, GA 31602

    Phone: (229) 241-2800

    Fax: (229) 241-0454

    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 44 Open Payments records for all available years, with a total value of $959.

Total Amount is formed as General ($959) + Research ($0) + Ownership ($0) = $959.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Astellas Pharma US Inc ($247).

Total Amount

$959

General + Research + Ownership

Payments

44

Total payment records

General Amount

$959

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2011-04-20

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
I20110420000473IObstetrics/GynecologyGATBD

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
77067Screening mammography323162$0
77063Screening 3d breast mammography314157$0
99213Established patient office or other outpatient visit, 20-29 minutes135127$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous113113$0
81003Automated urinalysis test10297$0
View full utilization report →

Insurance plans in this area (ZIP 31602)

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Provider's Procedures

BOLAN P WOODWARD (MD) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYGA81002Urinalysis, manual test4342

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: 8729059043View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
Diagnostic RadiologyOH
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Diagnostic RadiologyVA
Diagnostic RadiologyCA
-GA
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

Is BOLAN P WOODWARD (MD) listed with a National Provider Identifier?
Yes — BOLAN P WOODWARD (MD) has NPI 1699851337 on file in the registry.
Is BOLAN P WOODWARD (MD) shown as active in public data?
Registry records indicate BOLAN P WOODWARD (MD) maintains an active NPI.
What expertise is attributed to BOLAN P WOODWARD (MD)?
BOLAN P WOODWARD (MD)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is BOLAN P WOODWARD (MD) located near Valdosta?
BOLAN P WOODWARD (MD) currently maps to Valdosta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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