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MS. DEMETRIA WOODRUFF PMHNP
NPI 1679464523
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since July 10, 2025
160 CARNEGIE PL, FAYETTEVILLE, GA 30214(470) 435-8028(770) 670-5342 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2026, Jul 10, 2025 (2 updates tracked since 2025).

About Ms. Demetria Woodruff Pmhnp NPPES

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

MS. DEMETRIA WOODRUFF PMHNP (NPI 1679464523) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (GAA-NP003770) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1679464523
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. DEMETRIA WOODRUFFCredential: PMHNP
Location Address160 CARNEGIE PLFayetteville, GA 30214-3905
Mailing Address1121 Johnson Ferry Road, Suite 450Marietta, GA 30068
Phone(470) 435-8028
Fax(770) 670-5342
Sole ProprietorNo
Enumeration DateJuly 10, 2025
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1679464523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · GAA-NP003770
160 CARNEGIE PL, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES 3

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

GREATER GEORGIA BEHAVIORAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
160 CARNEGIE PL
FAYETTEVILLE, GA 30214
Fayette County (470) 435-8028
BONNIE LOOPER BSN, RN
Student in an Organized Health Care Education/Training Program
160 CARNEGIE PL
FAYETTEVILLE, GA 30214
Fayette County (404) 445-3968
MCINTOSH TRAIL CSB
Community/Behavioral Health
160 CARNEGIE PL
FAYETTEVILLE, GA 30214
Fayette County (770) 461-1351

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 Demetria Woodruff's NPI number?

The NPI number for Demetria Woodruff is 1679464523. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Demetria Woodruff located?

Demetria Woodruff practices at 160 Carnegie Pl, Fayetteville, GA 30214. The listed phone number is (470) 435-8028.

What is Demetria Woodruff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Demetria Woodruff was last updated on June 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.