JILL D WOODHAM CRNP
NPI 1659576494
Nurse Practitioner in Dothan, AL
About Jill D Woodham Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL D WOODHAM CRNP (NPI 1659576494) is an individual nurse practitioner in Dothan, Alabama, licensed in Alabama (1049498) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jill D Woodham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jill Woodham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dothan, AL 36301
- Reassigned Medicare billing, Alabama enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOTHAN, AL 36301
DOTHAN, AL 36301
DOTHAN, AL 36301
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 Jill Woodham's NPI number?
The NPI number for Jill Woodham is 1659576494. It was assigned to this individual provider in the NPPES registry on June 20, 2007. The provider is also known as Laura Jill Dansby Woodham.
Where is Jill Woodham located?
Jill Woodham practices at 1118 Ross Clark Cir Suite 100, Dothan, AL 36301. The listed phone number is (334) 794-1148.
What is Jill Woodham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jill Woodham enrolled in Medicare?
Yes. Jill Woodham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jill Woodham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Woodham reassigns Medicare benefits to Dothan Medical Associates, P.C. (Dothan, AL). The 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 Jill Woodham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jill Woodham was last updated on January 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jill D Woodham, CRNP · NPI 1659576494
Nurse Practitioner physician in Dothan, Alabama. Individual provider, active in the CMS NPPES registry since June 20, 2007.
## Identity
- **NPI:** 1659576494 (Entity type: Individual)
- **Enumerated:** June 20, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1049498 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1118 ROSS CLARK CIR, SUITE 100, Dothan, AL 36301-3001
- **Phone:** (334) 794-1148 · **Fax:** (334) 793-1954
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dothan Medical Associates, P.C. (NPI 1972693778, Dothan, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 12, 2010
- **Other identifiers:** Medicare PIN 51544862 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1659576494) · Data from the CMS NPPES public registry.