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MRS. CHANETTA LASHAN WOODHAM CRNP
NPI 1619264520
Nurse Practitioner - Family in Dothan, AL

Active since June 30, 2011PECOS Enrolled
207 HAVEN DR, DOTHAN, AL 36301(334) 793-3319(334) 793-2291 Get Directions Write a Review

NPPES record last updated: December 4, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Chanetta Lashan Woodham Crnp NPPES

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

MRS. CHANETTA LASHAN WOODHAM CRNP (NPI 1619264520) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-098137) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619264520
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHANETTA LASHAN WOODHAMCredential: CRNP
Location Address207 HAVEN DRDothan, AL 36301-2919
Mailing Address1121 S Brannon Stand RdDothan, AL 36305-7367 · (334) 714-3302
Phone(334) 793-3319
Fax(334) 793-2291
Sole ProprietorNo
Enumeration DateJune 30, 2011
Last NPPES UpdateDecember 4, 2017
✔ NPI 1619264520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-098137
207 HAVEN DR, Dothan, AL 36301
Open in Google Maps ↗

Other Names 1

Professional Name (2)Ms. Chanetta Lashan Payton Crnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chanetta Lashan Woodham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 36301 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
18%62 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%33 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%124 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
31%62 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%86 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
18%232 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 24 patients
100%24 patients
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 62 patients
0%62 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

DR. SAM CARROLL WEST M.D.
Psychiatry & Neurology (Psychiatry)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-1964
DR. GREGORY MATTHEW WELLS M.D.
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
DR. MARK HELMUT PICHLER D.O.
Psychiatry & Neurology (Psychiatry)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-1964
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
Specialist
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
MRS. MELISSA HOLMAN CRNP
Registered Nurse
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
DR. GANJUR H GURU-PRAKASH M.D.
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
MR. JEROME NICHOLAS HIRE L.C.S.W.
Social Worker (Clinical)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-1964
MRS. JUDY WEST RN
Registered Nurse (Psychiatric/Mental Health)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-1964

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 Chanetta Woodham's NPI number?

The NPI number for Chanetta Woodham is 1619264520. It was assigned to this individual provider in the NPPES registry on June 30, 2011. The provider is also known as Ms. Chanetta Lashan Payton Crnp.

Where is Chanetta Woodham located?

Chanetta Woodham practices at 207 Haven Dr, Dothan, AL 36301. The listed phone number is (334) 793-3319.

What is Chanetta Woodham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chanetta Woodham enrolled in Medicare?

Yes. Chanetta Woodham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chanetta Woodham was last updated on December 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.