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MDMDS1992LLC
NPI 1154796563
Preferred Provider Organization in Watkinsville, GA

Active since December 10, 2015CLIA 11D2107840 · Waiver
2410 HOG MOUNTAIN RD STE 303, WATKINSVILLE, GA 30677(706) 705-6070(706) 705-6075 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mdmds1992llc NPPES

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

MDMDS1992LLC (NPI 1154796563) is a healthcare organization registered as a preferred provider organization in Watkinsville, Georgia and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Melissa Barney, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1154796563
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMICHELLE WOODARD M.D LLC
Location Address2410 HOG MOUNTAIN RD STE 303Watkinsville, GA 30677-4850
Mailing Address2410 Hog Mountain Rd Ste 303Watkinsville, GA 30677-4850 · (706) 705-6070 · Fax (706) 705-6075
Phone(706) 705-6070
Fax(706) 705-6075
Organization SubpartNo
Authorized OfficialMelissa BarneyPractice Manager · (706) 705-6070
Enumeration DateDecember 10, 2015
✔ NPI 1154796563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in GA · 061022
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
2410 HOG MOUNTAIN RD STE 303, Watkinsville, GA 30677
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Other Names 1

Doing Business AsMdmds1992llc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mdmds1992llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mdmds1992llc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michelle Woodard, M.D
Internal Medicine
NPI 1912988288
2410 HOG MOUNTAIN RD. STE. 303
Watkinsville, GA 30677
(706) 705-6070
✔ PECOS✔ Accepts MedicareSame address
Julie Coleman
Nurse Practitioner
NPI 1831409853
1199 PRINCE AVE
Athens, GA 30606
(706) 475-4917
✔ PECOS✔ Accepts Medicare7.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2107840

Dr Michelle Woodard MD · Watkinsville, GA
Active · expires Jan 24, 2028
CLIA Number11D2107840
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMichelle H. Woodard
Laboratory Phone(706) 705-6070
Laboratory LocationDr Michelle Woodard MD2410 Hog Mtn Rd Ste #303, Watkinsville, GA 30677
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Michelle Woodard M.D LLC's NPI number?

The NPI number for Michelle Woodard M.D LLC is 1154796563. It was assigned to this organization in the NPPES registry on December 10, 2015. The provider is doing business as Mdmds1992llc.

Where is Michelle Woodard M.D LLC located?

Michelle Woodard M.D LLC is located at 2410 Hog Mountain Rd Ste 303, Watkinsville, GA 30677. The listed phone number is (706) 705-6070.

What is Michelle Woodard M.D LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Michelle Woodard M.D LLC enrolled in Medicare?

Yes. Michelle Woodard M.D LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michelle Woodard M.D LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Michelle Woodard M.D LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Michelle Woodard M.D LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2107840) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michelle Woodard M.D LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Michelle Woodard M.D LLC 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 Michelle Woodard M.D LLC was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.