NPI age
9 years
Enumerated 2016-06-30
● Active
Type 1 · Individual
Tonda Renee Wooten, DPM
Wooten is 1 of 7 podiatrist providers in MacOn and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Plus 2 subspecialties
Licensed in
GA, AZ, KY
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
9 years
↓ 6 yr below median (15 yr)
State licenses
3 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Practice location
4660 Riverside Park Blvd
MacOn, GA 312101395
Mailing address
4660 Riverside Park Blvd Ste A
MacOn, GA 312101399
Additional practice locations
1 secondary location on file with NPPES.
Location 2
18444 N 25th Ave Ste 210
Phoenix, AZ 850231264
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | 00451 | KENTUCKY STATE LICENSE |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 11 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.