NPI age
14 years
Enumerated 2011-08-26
● Active
Type 1 · Individual
DR. Jonathan Stephen Wood, MD
Wood is 1 of 10 pediatrics providers in Lilburn and 1 of 2726 in Georgia.
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2726 active pediatrics providers in Georgia.
NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Practice location
4120 Five Forks Trickum Rd Sw Ste 102
Lilburn, GA 300478975
Mailing address
4120 Five Forks Trickum Rd Sw Ste 102
Lilburn, GA 300478975
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003172167 | |
| 01 (GA) | 76998 | GEORGIA MEDICAL LICENSE |
| 05 (GA) | 003172167H | |
| 05 (GA) | 003172167J | |
| 05 (GA) | 003172167M | |
| 05 (GA) | 003172167N | |
| 01 (GA) | 1707074 | WELLCARE |
| 05 (GA) | 003172167L | |
| 01 (GA) | 06047829 | AMERIGROUP |
| 05 (GA) | 003172167K | |
| 05 (GA) | 003172167I |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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