MR. GUY KULUMANU GOODNESS MSN BSN RN FNP-C NPI 1730602681

NPI Information

NPI: 1730602681
Provider Name: MR. GUY KULUMANU GOODNESS, MSN, BSN, RN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
824 GI MADDOX PKWY
CHATSWORTH, GA
ZIP 30705
Phone: (706) 695-0561
Get Directions

MR. Guy Kulumanu Goodness, MSN, BSN, RN, FNP-C is a family nurse practitioner in Chatsworth, GA with 8 years of experience. MR. Guy Kulumanu Goodness, MSN, BSN, RN, FNP-C NPI is 1730602681. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

824 GI MADDOX PKWY
CHATSWORTH, GA
ZIP 30705-147
Phone: (706) 695-0561
Fax: (706) 695-8678

The NPI 1730602681 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 enumeration date for this NPI number is 7/24/2017 and was last updated on 12/20/2018.

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	363LF0000X	Nurse Practitioner	Family	RN241476	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	003195877A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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