NANCY WOODRUFF
NPI 1063636942
Psychologist in Marietta, GA

Active since April 12, 2007Opted out of Medicare · through Jun 4, 2028
1121 JOHNSON FERRY RD, MARIETTA, GA 30068(770) 973-8850 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nancy Woodruff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY WOODRUFF (NPI 1063636942) is an individual psychologist in Marietta, Georgia, licensed in Georgia (820) and active in the NPI registry since April 2007. She has opted out of Medicare through June 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063636942
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNANCY WOODRUFF
Location Address1121 JOHNSON FERRY RDMarietta, GA 30068-5425
Mailing Address300 Cross Gate DrMarietta, GA 30068-3923
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063636942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 820
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1121 JOHNSON FERRY RD, Marietta, GA 30068

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nancy Woodruff has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 4, 2014 through June 4, 2028.

Opt-Out Effective DateJune 4, 2014
Opt-Out In Effect ThroughJune 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1121 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30068
Nurse Practitioner (Pediatrics)
1121 JOHNSON FERRY RD, SUITE 220
MARIETTA, GA 30068
Dentist (General Practice)
1121 JOHNSON FERRY RD, SUITE 450
MARIETTA, GA 30068
Internal Medicine
1121 JOHNSON FERRY RD, SUITE 205
MARIETTA, GA 30068
Dentist (Orthodontics and Dentofacial Orthopedics)
1121 JOHNSON FERRY RD, 320
MARIETTA, GA 30068
Obstetrics & Gynecology
1121 JOHNSON FERRY RD, SUITE 150
MARIETTA, GA 30068
Dental Assistant
1121 JOHNSON FERRY RD, SUITE 320
MARIETTA, GA 30068
Physician Assistant
1121 JOHNSON FERRY RD, SUITE 100
MARIETTA, GA 30068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Woodruff's NPI number?

The NPI number for Nancy Woodruff is 1063636942. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Nancy Woodruff located?

Nancy Woodruff practices at 1121 Johnson Ferry Rd, Marietta, GA 30068. The listed phone number is (770) 973-8850.

What is Nancy Woodruff's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nancy Woodruff enrolled in Medicare?

No. Nancy Woodruff has opted out of Medicare through June 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nancy Woodruff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.