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DR. JACOB ALLAN GOODRICH MD NPI 1700847399


NPI Information

NPI: 1700847399
Provider Name: DR. JACOB ALLAN GOODRICH, MD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

PECOS Registration: Yes

Address:
1706 MAGNOLIA WAY
AUGUSTA, GA
ZIP 30909
Phone: (706) 210-7529
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DR. Jacob Allan Goodrich, MD is an orthopaedic surgery of the spine orthopaedic surgery in Augusta, GA with 47 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Jacob Allan Goodrich, MD NPI is 1700847399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

1706 MAGNOLIA WAY
AUGUSTA, GA
ZIP 30909-481
Phone: (706) 210-7529
Fax: (706) 312-7609

The NPI 1700847399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fusion of spine bones, posterior or posterolateral approach (HCPCS:22614)
  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments (HCPCS:22842)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)

The enumeration date for this NPI number is 3/31/2006 and was last updated on 4/3/2019.


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
1207X00000XOrthopaedic Surgery020540GEORGIANo
2207X00000XOrthopaedic Surgery34112SOUTH CAROLINANo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine020540GEORGIAYes
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine34412SOUTH CAROLINANo
5207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine34112SOUTH CAROLINANo

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
1G20540MEDICAIDSOUTH CAROLINA
2000239357FMEDICAIDGEORGIA
3REF000028280MEDICAIDGEORGIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.