KENNETH KEITH WOODINGTON APRN
NPI 1164040036
Nurse Practitioner in Decatur, GA

Q: What is Kenneth Woodington's NPI number?

The NPI number for Kenneth Woodington is 1164040036. It was assigned to this individual provider in the NPPES registry on July 8, 2020. The provider is also known as Kenneth Keith Bullington Aprn.

Q: What is Kenneth Woodington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 08, 2020PECOS EnrolledAccepts Medicare Assignment

2675 N DECATUR RD STE 200, DECATUR, GA 30033(044) 501-7040(404) 501-7644 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Jul 9, 2025, Aug 5, 2020 and 1 more (4 updates tracked since 2020).

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About Kenneth Keith Woodington Aprn NPPES

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

KENNETH KEITH WOODINGTON APRN (NPI 1164040036) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (RN238883) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164040036

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKENNETH KEITH WOODINGTONCredential: APRN

Location Address2675 N DECATUR RD STE 200Decatur, GA 30033-6132

Mailing Address2675 N Decatur Rd Ste 200Decatur, GA 30033-6132 · (404) 778-1900

Phone(044) 501-7040

Fax(404) 501-7644

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 8, 2020

Last NPPES UpdateDecember 8, 20254 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1164040036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN238883

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN238883 (GA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN238883 (GA)

2675 N DECATUR RD STE 200, Decatur, GA 30033

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Other Names 1

Former Name (1)Kenneth Keith Bullington Aprn

Other Identifiers 1

OtherRN238883GA · Rn / Aprn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Keith Woodington Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537587860

PECOS Enrollment IDI20200917001816

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. DAVID DOUGLAS SHEPARD M.D.

Internal Medicine (Hematology & Oncology)

2675 N DECATUR RD STE 200
DECATUR, GA 30033

Dekalb County (404) 501-7040

HIROMI TERAWAKI ROSSELLI M.D.

Internal Medicine (Hematology & Oncology)

2675 N DECATUR RD STE 200
DECATUR, GA 30033

Dekalb County (404) 501-7040

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 Kenneth Woodington's NPI number?

The NPI number for Kenneth Woodington is 1164040036. It was assigned to this individual provider in the NPPES registry on July 8, 2020. The provider is also known as Kenneth Keith Bullington Aprn.

Where is Kenneth Woodington located?

Kenneth Woodington practices at 2675 N Decatur Rd Ste 200, Decatur, GA 30033. The listed phone number is (044) 501-7040.

What is Kenneth Woodington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kenneth Woodington enrolled in Medicare?

Yes. Kenneth Woodington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Woodington affiliated with any hospitals?

According to CMS data, Kenneth Woodington is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Woodington was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.