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JILL D WOODHAM CRNP
NPI 1659576494
Nurse Practitioner in Dothan, AL

Active since June 20, 2007PECOS Enrolled
97.58/100
CMS Quality Rating
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301(334) 794-1148(334) 793-1954 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1659576494
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJILL D WOODHAMCredential: CRNP
Location Address1118 ROSS CLARK CIR, SUITE 100Dothan, AL 36301-3001
Mailing Address1118 Ross Clark Cir, Suite 100Dothan, AL 36301-3001 · (334) 794-1148 · Fax (334) 793-1954
Phone(334) 794-1148
Fax(334) 793-1954
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJanuary 12, 2010
✔ NPI 1659576494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1049498
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.
1118 ROSS CLARK CIR, Dothan, AL 36301
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Other Names 1

Former Name (1)Laura Jill Dansby Woodham

Other Identifiers 1

Medicare PIN51544862AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill D 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers19 claims244 services$13.69 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers21 claims720 services$1.60 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers21 claims21 services$125.18 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
32 suppliers93 claims439 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers21 claims51 services$1.14 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers25 claims1,480 services$6.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSEPH JASON PHILLIPS M.D.
Urology
1118 ROSS CLARK CIR, 500
DOTHAN, AL 36301
Houston County (334) 794-4159
PREMIER CARDIOLOGY CONSULTANTS INC
Internal Medicine (Cardiovascular Disease)
1118 ROSS CLARK CIR, STE 704
DOTHAN, AL 36301
Houston County (334) 699-6396
GUY MALCOLM MIDDLETON M.D.
Obstetrics & Gynecology
1118 ROSS CLARK CIR, SUITE 402
DOTHAN, AL 36301
Houston County (334) 673-3633
MR. JUSTIN CASEY CRNP
Nurse Practitioner
1118 ROSS CLARK CIR, SUITE 303
DOTHAN, AL 36301
Houston County (334) 794-3192
JOHN EVANS JR. NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1118 ROSS CLARK CIR, SUITE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
MR. PHILLIP TYLER STANLEY C.R.N.A.
Nurse Anesthetist, Certified Registered
1118 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
DR. MATTHEW T JENNINGS DO
Anesthesiology
1118 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
CHARLES MEADOR BEVERLY M.D.
Obstetrics & Gynecology
1118 ROSS CLARK CIR, SUITE 600
DOTHAN, AL 36301
Houston County (334) 793-3900

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.

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.