LEE P.WOODRUFF DPM, P.A.
NPI 1114249661
Clinic/Center - Podiatric in Jonesboro, AR
About Lee P.woodruff Dpm, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEE P.WOODRUFF DPM, P.A. (NPI 1114249661) is a healthcare organization registered as a podiatric in Jonesboro, Arkansas and active in the NPI registry since February 2010. The organization lists Lee P. Woodruff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lee P.woodruff Dpm, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lee P.Woodruff DPM, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lee P.Woodruff Dpm, P.A.'s NPI number?
The NPI number for Lee P.Woodruff Dpm, P.A. is 1114249661. It was assigned to this organization in the NPPES registry on February 25, 2010.
Where is Lee P.Woodruff Dpm, P.A. located?
Lee P.Woodruff Dpm, P.A. is located at 1815 Executive Sq, Jonesboro, AR 72401. The listed phone number is (870) 933-0041.
What is Lee P.Woodruff Dpm, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Lee P.Woodruff Dpm, P.A. enrolled in Medicare?
Yes. Lee P.Woodruff Dpm, P.A. is registered in the Medicare PECOS enrollment system.
When is Lee P.Woodruff Dpm, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lee P.Woodruff Dpm, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Lee P.Woodruff Dpm, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lee P.Woodruff Dpm, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Lee P.Woodruff Dpm, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lee P.Woodruff Dpm, P.A. was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Lee P.woodruff Dpm, P.a. · NPI 1114249661
Podiatric organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since February 25, 2010.
## Identity
- **NPI:** 1114249661 (Entity type: Organization)
- **Enumerated:** February 25, 2010
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Lee Woodruff, OWNER
## Practice location
- **Address:** 1815 EXECUTIVE SQ, Jonesboro, AR 72401-6086
- **Phone:** (870) 933-0041 · **Fax:** (870) 933-0531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2010
- **Other identifiers:** Medicare UPIN T930225; Medicare PIN 56210 (AR); Medicaid 119031717 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114249661) · Data from the CMS NPPES public registry.