Douglas Goodwin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Rossville, Georgia. His current practice location is
205 Jenkins Rd, Rossville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 866-5520.
Douglas Goodwin is licensed to practice in Georgia (license number RN224028) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013488337.
Provider's Profile
| Full Name | Douglas Goodwin |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 205 Jenkins Rd, Rossville, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013488337
- Provider Enumeration Date: 12/14/2018
- Last Update Date: 01/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082954912
- Enrollment ID: I20190612004015
Medical Identifiers
Medical identifiers for Douglas Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013488337 | NPI | - | NPPES |
| 000211956C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN224028 (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. Douglas Goodwin is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas Goodwin, FNP
13570 N Main St,
Trenton, GA 30752-2012
Ph: (706) 956-2665 | Douglas Goodwin, FNP
205 Jenkins Rd,
Rossville, GA 30741-4016
Ph: (706) 866-5520 |
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