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GOODWIN & ASSOCIATES P.C. NPI 1518158021


NPI Information

NPI: 1518158021
Provider Name: GOODWIN & ASSOCIATES, P.C.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
31 PHYSICIANS DR
JACKSON, TN
ZIP 38305
Phone: (731) 668-9791
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GOODWIN & ASSOCIATES, P.C. is a specialist in Jackson, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GOODWIN & ASSOCIATES, P.C. NPI is 1518158021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

31 PHYSICIANS DR
JACKSON, TN
ZIP 38305-071
Phone: (731) 668-9791
Fax: (731) 668-9678

The provider's authorized official is Darla Sue Sanders .
The authorized official title is Office Manager and has the following contact phone number (731) 668-9791.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 8/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD18798TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13710209MEDICAIDTENNESSEE
23710209MEDICARE PINTENNESSEE
3A99679MEDICARE UPINTENNESSEE

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: 4/28/2024

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