Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Samuel Woodard, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1467074666

Jeffrey Samuel Woodard, PHYSICIANASSISTANT is a Physician Assistant in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Pediatric and Family Behavioral Health Acquisition Group PLLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

10420 Park Rd Ste 300
Charlotte, NC 28210-8502
Phone: (980) 237-4766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10440 Park Rd Ste 300, Charlotte, NC 28210-8544 — (980) 237-4766

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10139 (NC)

Record details

NPI number1467074666
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMay 11, 2020
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pediatric And Family Behavioral Health Acquisition Group Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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