NEIL E GOODMAN MD PC NPI 1104831064

NPI Information

NPI: 1104831064
Provider Name: NEIL E GOODMAN MD PC
Classification: Pediatrics - 2080A0000X
Specialization: Adolescent Medicine
Entity Type: Organization
Address: 2500 STARLING ST
SUITE # 401
BRUNSWICK, GA
ZIP 31520
Phone: (912) 554-0544

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NPI Details

NEIL E GOODMAN MD PC is an adolescent medicine pediatrics in Brunswick, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NEIL E GOODMAN MD PC NPI is 1104831064. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2500 STARLING ST
SUITE # 401
BRUNSWICK, GA
ZIP 31520-219
Phone: (912) 554-0544
Fax: (912) 554-0344

The provider's authorized official is Neil Evan Goodman .
The authorized official title is President / Owner and has the following contact phone number (912) 554-0544.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		034143	GEORGIA	No
2	2080A0000X	Pediatrics	Adolescent Medicine	034143	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00714876G	MEDICAID	GEORGIA
2	034143	OTHER	GEORGIA	STATE MED LIC NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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