Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699055236 Individual Practitioner Male Practitioner

Dr. Jonathan Stephen Wood , MD

Pediatrics • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Wood, MD is a registered healthcare professional specializing in Pediatrics in Lilburn, GA. Practice services are available at 4120 FIVE FORKS TRICKUM RD SW STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4120 Five Forks Trickum Rd Sw Ste 102

Lilburn, GA 300478975

Telephone 7709236400
Fax 7706769876
Associated Practice Facility / Clinic
🏢 Bcgp Facility NPI 1619003902

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Lilburn, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-31
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 76998

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003172167I (GA)
Medicaid State Provider ID
003172167L (GA)
Medicaid State Provider ID
003172167K (GA)
Medicaid State Provider ID
003172167 (GA)
Medicaid State Provider ID
003172167H (GA)
Medicaid State Provider ID
003172167J (GA)
Medicaid State Provider ID
003172167M (GA)
Medicaid State Provider ID
003172167N (GA)
Commercial Insurance / Payer ID Georgia Medical License
76998 (GA)
Commercial Insurance / Payer ID Wellcare
1707074 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1427001122

MDPHD

NPI 1437116738

Doctor of Medicine (M.D.)

Amber Kaminski , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1508396920

CPNPPC

Rebecca Alcoba , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1578926374

CPNPPC

NPI 1649405499

Doctor of Medicine (M.D.)

Brianna Schoonover

Behavior Technician

NPI 1821731316

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
📍
Updated Practice Location May 31, 2023

Registered at 4120 FIVE FORKS TRICKUM RD SW STE 102, LILBURN, GA 300478975 (Tel: 7709236400)

📍
Updated Business Mailing Address May 31, 2023

Registered at 4120 FIVE FORKS TRICKUM RD SW STE 102, LILBURN, GA 300478975 (Tel: 7709236400)

📍
Updated Practice Location February 01, 2023

Registered at 777 HEMLOCK ST, MACON, GA 312012102 (Tel: 4786337379)

📍
Updated Business Mailing Address February 01, 2023

Registered at 4823 COOPERS CREEK LN, GAINESVILLE, GA 305049258 (Tel: 6787733116)

📍
Updated Practice Location July 08, 2021

Registered at 4019 EXECUTIVE DRIVE, OAKWOOD, GA 305663433 (Tel: 7705336500)

📍
Updated Practice Location July 17, 2018

Registered at 4224 FAIRBANKS DR, OAKWOOD, GA 30566 (Tel: 7705336500)

📍
Updated Practice Location June 21, 2018

Registered at 777 HEMLOCK ST, MACON, GA 31201 (Tel: 4786337379)

📍
Updated Business Mailing Address June 21, 2018

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

NPI Profile Active January 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2018

Registered at 777 HEMLOCK ST, MACON, GA 312012102 (Tel: 4786337379)

📍
Updated Business Mailing Address January 20, 2018

Registered at 641 FOREST LAKE DR N, MACON, GA 312103205

👤
Provider Name / Credentials Updated January 20, 2018

Recorded as JONATHAN WOOD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2018

Pediatrics (License #76998 in GA)

NPI Profile Active August 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2011

Registered at 1550 COLLEGE ST, MACON, GA 312070001 (Tel: 6787733116)

📍
Updated Business Mailing Address August 26, 2011

Registered at 1550 COLLEGE ST, MACON, GA 312070001

👤
Provider Name / Credentials Updated August 26, 2011

Recorded as JONATHAN WOOD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699055236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2011
Last Update: May 31, 2023
Sole Proprietor: Yes

Mailing Address

4120 Five Forks Trickum Rd Sw Ste 102

Lilburn, GA 300478975

Phone: 7709236400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.