JEFFREY SAMUEL WOODARD PHYSICIAN ASSISTANT
NPI 1467074666
Physician Assistant in Charlotte, NC

Active since May 11, 2020PECOS EnrolledAccepts Medicare Assignment
10420 PARK RD STE 300, CHARLOTTE, NC 28210(980) 237-4766 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 23, 2021, May 11, 2020 (2 updates tracked since 2020).

About Jeffrey Samuel Woodard Physician Assistant NPPES

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

JEFFREY SAMUEL WOODARD PHYSICIAN ASSISTANT (NPI 1467074666) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-10139) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467074666
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY SAMUEL WOODARDCredential: PHYSICIAN ASSISTANT
Location Address10420 PARK RD STE 300Charlotte, NC 28210-8502
Mailing Address901 Harvard PlCharlotte, NC 28207-1839 · (980) 329-2051
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 11, 2020
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1467074666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-10139
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10420 PARK RD STE 300, Charlotte, NC 28210

Accepted Insurance

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

Jeffrey Samuel Woodard Physician Assistant 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 ID1759702095
PECOS Enrollment IDI20200522000617
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 9

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

Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Social Worker
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Counselor (Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210
Nurse Practitioner (Psychiatric/Mental Health)
10420 PARK RD STE 300
CHARLOTTE, NC 28210

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 Jeffrey Woodard's NPI number?

The NPI number for Jeffrey Woodard is 1467074666. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Jeffrey Woodard located?

Jeffrey Woodard practices at 10420 Park Rd Ste 300, Charlotte, NC 28210. The listed phone number is (980) 237-4766.

What is Jeffrey Woodard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jeffrey Woodard enrolled in Medicare?

Yes. Jeffrey Woodard 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.

What insurance does Jeffrey Woodard accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jeffrey Woodard 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 Jeffrey Woodard was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.