Neil E Goodman, MD is a
Pediatrics - Adolescent Medicine physician based in St Simons Island, Georgia. Neil E Goodman is licensed to practice in Georgia (license number 034143) and his current practice location is 5500 Frederica Rd Unit 2208, St Simons Island, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 268-4633.
NPI number for Neil E Goodman is 1538448402 and his current mailing address is 23 Carriage Dr, St Simons Island, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538448402.
Physician's Profile
| Full Name | Neil E Goodman |
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| Gender | Male |
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| Speciality | Pediatrics - Adolescent Medicine |
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| Location | 5500 Frederica Rd Unit 2208, St Simons Island, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538448402
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 02/26/2023
Medical Identifiers
Medical identifiers for Neil E Goodman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538448402 | NPI | - | NPPES |
| 34143 | Other | GA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 034143 (Georgia) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 139707 (Florida) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 82230 (South Carolina) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 269918 (New York) | Secondary |
| 2080A0000X | Pediatrics - Adolescent Medicine | 034143 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Neil E Goodman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Neil E Goodman, MD
23 Carriage Dr,
St Simons Island, GA 31522-5457
Ph: (912) 230-2323 | Neil E Goodman, MD
5500 Frederica Rd Unit 2208,
St Simons Island, GA 31522-9703
Ph: (912) 268-4633 |
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