Individual provider · Type 1 NPI

Kenneth Keith Woodington, APRN

Nurse Practitioner · Decatur, GA

NPI number 1164040036 Active

Practice location

2675 N Decatur Rd Ste 200
Decatur, GA 30033-6132

Fax (404) 501-7644

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XRN238883 (GA)
Adult Health Nurse Practitioner 363LA2200XRN238883 (GA)
Nurse Practitioner Primary 363L00000XRN238883 (GA)

Nurse Practitioner: (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 wit…

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About NPI 1164040036

Kenneth Keith Woodington, APRN's National Provider Identifier is 1164040036, issued on Jul 8, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Decatur, GA. The record was last updated on Dec 8, 2025.