MR. GREGORY WAYNE GOODWIN (NPI# 1043309669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043309669 |
| Entity Type | Individual |
| Full Name | MR. GREGORY WAYNE GOODWIN |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1269 Us Highway 221a Forest City NC 28043-5921 |
| Practice Telephone | 8286575371 |
| Practice Fax Number | 8286579190 |
| Mailing Telephone | 8286575371 |
| Mailing Fax Number | 8286579190 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2011-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 102644 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902191950 | Gregory Lee Goodwin | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2011-06-16 |
| 1427197920 | Gregory Thomas Goodwin | Physician Assistant | 9024 Sniktaw Ln, Fort Jones, CA 96032-9408 | 2007-02-05 |
| 1689780744 | Gregory R Goodwin | Emergency Medicine | 100 Hospital Dr, Lebanon, MO 65536-9210 | 2006-08-22 |
| 1326002817 | Gregory Goodwin | Pediatrics | 333 Longwood Ave, Boston, MA 02115-5711 | 2006-04-13 |
| Street Address |
1269 US HIGHWAY 221A |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043-5921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053371716 | Rebecca C Tummons | Family Medicine | 1269 Us Highway 221a, Forest City, NC 28043-5921 | 2006-03-27 |
| 1275613218 | Russell M Stewart IIi | Family Medicine | 1269 Us Highway 221a, Forest City, NC 28043-5921 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699823443 | Robert Charles Du Charme Jr. | Physician Assistant | 128 Hazelwood Dr, Forest City, NC 28043-6143 | 2007-01-08 |
| 1326044165 | Margaret Krusch | Physician Assistant | 136 Sparks Dr, Forest City, NC 28043-9021 | 2005-06-27 |
| 1073171591 | Megan Brewer | Physician Assistant | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2019-05-30 |
| 1336606417 | Jessica Hatcher | Physician Assistant | 181 Daniel Rd, Ste A, Forest City, NC 28043-7151 | 2019-02-26 |
| 1508372137 | Ryan Michael Spurlin | Physician Assistant | 281 E Main St, Forest City, NC 28043-3126 | 2017-12-19 |
| 1366892333 | Savanna Yount Gary | Physician Assistant | 162 Commercial St, B, Forest City, NC 28043-2849 | 2016-06-20 |
| 1679980783 | Jill Van Otterloo | Physician Assistant | 635 E Us Highway 9, Forest City, IA 50436-1028 | 2014-07-21 |
| 1831407758 | Patrick Sammon | Physician Assistant | 181 Daniel Rd, Forest City, NC 28043-7151 | 2010-09-14 |
| 1922297365 | Angela H Welch | Physician Assistant | 162 Commercial St, Suite B, Forest City, NC 28043-2849 | 2007-10-22 |
| 1083738629 | Paul Layman | Physician Assistant | 181 Daniel Rd, Forest City, NC 28043-7151 | 2007-03-19 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
Please comment or provide details below to improve the information on MR. GREGORY WAYNE GOODWIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.