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

NPI Status: Active since June 30, 2011

Contact Information

207 HAVEN DR
DOTHAN, AL
ZIP 36301
Phone: (334) 793-3319
Fax: (334) 793-2291

Get Directions Reviews

  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Medicare Quality Reporting

About CHANETTA WOODHAM

This page provides the complete NPI Profile along with additional information for Chanetta Woodham, a provider established in Dothan, Alabama with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1619264520 assigned on June 2011. The practitioner's primary taxonomy code is 363LF0000X with license number 1-098137 (AL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1619264520
Provider Name
MRS. CHANETTA LASHAN WOODHAM CRNP
Other Name
MS. CHANETTA LASHAN PAYTON CRNP
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
207 HAVEN DR DOTHAN, AL 36301
Location Phone
(334) 793-3319
Location Fax
(334) 793-2291
Mailing Address
1121 S BRANNON STAND RD DOTHAN, AL 36305
Mailing Phone
(334) 714-3302
Is Sole Proprietor?
No
Enumeration Date
06-30-2011
Last Update Date
12-04-2017
Code Navigator

A nurse practitioner (NP) like Chanetta Woodham is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1-098137
License State
AL

Medicare Participation & PECOS Enrollment Status

Chanetta Woodham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 36301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.9
  • Minimum New Patient Price $52.65
  • Maximum New Patient Price $161.63
  • Average New Patient Copayment $20.47
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.4

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.72
  • Minimum Established Patient Price $16.56
  • Maximum Established Patient Price $131.65
  • Average Established Patient Copayment $23.43
  • Minimum Established Patient Copayment $4.14
  • Maximum Established Patient Copayment $32.91

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 18% 62
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 or provide an advance care plan
Diabetes: Medical Attention for Nephropathy 100% 33
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
Documentation of Current Medications in the Medical Record 99% 124
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. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Pneumococcal Vaccination Status for Older Adults 31% 62
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 24% 86
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization 18% 232
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
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
62
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. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Reviews for MRS. CHANETTA LASHAN WOODHAM CRNP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619264520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262946854
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 4 + 6 + 8 + 5 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1619264520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366403255DR. SAM CARROLL WEST M.D.
Individual
Psychiatry & Neurology (Psychiatry)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964
1265494181DR. GREGORY MATTHEW WELLS M.D.
Individual
Internal Medicine (Nephrology)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1982652954DR. MARK HELMUT PICHLER D.O.
Individual
Psychiatry & Neurology (Psychiatry)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964
1013018407DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
Organization
Specialist207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1669567608MRS. MELISSA HOLMAN CRNP
Individual
Registered Nurse207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1386730059DR. GANJUR H GURU-PRAKASH M.D.
Individual
Internal Medicine (Nephrology)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1104916329MR. JEROME NICHOLAS HIRE L.C.S.W.
Individual
Social Worker (Clinical)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964
1861684862MRS. JUDY WEST RN
Individual
Registered Nurse (Psychiatric/Mental Health)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964
1649462292 SARAH HELMS RN
Individual
Registered Nurse (Psychiatric/Mental Health)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964
1083807424 LINDA HETRICK LPN
Individual
Licensed Practical Nurse207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964
1073742953DR. NOWOGHOMWENMA CHARLES IBIE MD
Individual
Internal Medicine (Nephrology)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1013551811 ELIZABETH ANN MCFARLAND CRNP
Individual
Nurse Practitioner (Family)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1033517719MRS. STEFANIE L. KINCEY CRNP
Individual
Nurse Practitioner207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1861007957 KERRI LANE GRIFFIN CRNP
Individual
Nurse Practitioner (Family)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-3319
1043034580 NIKKI ILONA BROUSSARD CRNP
Individual
Internal Medicine (Nephrology)207 HAVEN DR
DOTHAN, AL 36301
(337) 793-3319
1215082136MR. BILLY STEVE COKER LPC
Individual
Counselor (Professional)207 HAVEN DR
DOTHAN, AL 36301
(334) 793-1964

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619264520, enumerated in the NPI registry as an "individual" on June 30, 2011

The provider is located at 207 Haven Dr Dothan, Al 36301 and the phone number is (334) 793-3319

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.