Provider Demographics
NPI:1245656768
Name:WOODSON, GAYLA (NP)
Entity type:Individual
Prefix:
First Name:GAYLA
Middle Name:
Last Name:WOODSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2600 MILSCOTT DR APT 2503
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6045
Mailing Address - Country:US
Mailing Address - Phone:678-699-8435
Mailing Address - Fax:
Practice Address - Street 1:1276 MCCONNELL DR STE C
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3506
Practice Address - Country:US
Practice Address - Phone:678-928-4471
Practice Address - Fax:470-260-4391
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN192045363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics