1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

DR. MICHAEL WOODWORTH M.D.
NPI 1629335856
Internal Medicine - Infectious Disease in Atlanta, GA

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
101 WOODRUFF CIRCLE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2019, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. Michael Woodworth M.d. NPPES

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

DR. MICHAEL WOODWORTH M.D. (NPI 1629335856) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (76700) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in South Portland.

NPPES Registry Identity

NPI1629335856
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MICHAEL WOODWORTHCredential: M.D.
Location Address101 WOODRUFF CIRCLEAtlanta, GA 30322-0001
Mailing Address101 Woodruff CircleAtlanta, GA 30322-0001
Phone(404) 712-2000
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1629335856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in GA · 76700✔ Licensed in ME · MD28808
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
101 WOODRUFF CIRCLE, Atlanta, GA 30322
Open in Google Maps ↗

Secondary Practice Location 1

Location 141 Donald B Dean Dr Ste BSouth Portland, ME 04106-3252 · Phone (790) 120-7661

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Harvard Pilgrim Health Care, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Woodworth M.d. 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 ID8426349119
PECOS Enrollment IDI20250121001262
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Woodworth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
0.6 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Medical Care Foundation Inc
4.1 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
Mainehealth
1,001 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1215417019 (207) 283-7000

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

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
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.

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 14

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

STEPHANIE MARIE POUCH M.D., M.S.
Internal Medicine (Infectious Disease)
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BUILDING, SUITE 2101
ATLANTA, GA 30322
Dekalb County (404) 712-7988
LAUREN NICOLE WILSON
Genetic Counselor, MS
101 WOODRUFF CIRCLE, SUITE 7130
ATLANTA, GA 30322
Dekalb County (404) 778-1014
DR. PAUL LU TSO M.D.
Transplant Surgery
101 WOODRUFF CIRCLE, ROOM 5105 WMB
ATLANTA, GA 30322
Dekalb County (404) 727-9942
DANA GABRIELLE PENFOLD
Internal Medicine
101 WOODRUFF CIRCLE, WMB SUITE 1105
ATLANTA, GA 30322
Dekalb County (404) 727-3585
HANNAH KATHRYN DAVIS MMSC
Genetic Counselor, MS
101 WOODRUFF CIRCLE
ATLANTA, GA 30322
Dekalb County (678) 628-4420
JAMES C. ZIMRING M.D., PH.D.
Pathology (Clinical Pathology/Laboratory Medicine)
101 WOODRUFF CIRCLE, SUITE 7301
ATLANTA, GA 30322
Dekalb County (404) 712-2174
EMILY SCHEPERS MD
Surgery
101 WOODRUFF CIRCLE, WMB STE 51505
ATLANTA, GA 30322
Dekalb County (855) 366-7989
JOHN D. ROBACK M.D., PH.D.
Pathology (Blood Banking & Transfusion Medicine)
101 WOODRUFF CIRCLE, WOODRUFF MEMORIAL RESEARCH BLDG., ROOM 7313
ATLANTA, GA 30322
Dekalb County (404) 712-1774

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 Michael Woodworth's NPI number?

The NPI number for Michael Woodworth is 1629335856. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Michael Woodworth located?

Michael Woodworth practices at 101 Woodruff Circle, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Michael Woodworth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Michael Woodworth enrolled in Medicare?

Yes. Michael Woodworth 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.

Which organizations bill Medicare for Michael Woodworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Woodworth reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Mainehealth (Biddeford, ME). Each 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 Michael Woodworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Woodworth accept?

Health plans from Ambetter Health, Harvard Pilgrim Health Care, Oscar Health and Taro Health list Michael Woodworth 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.

Is Michael Woodworth affiliated with any hospitals?

According to CMS data, Michael Woodworth is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Woodworth was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.