THOMAS JACKSON GOODWIN (NPI# 1083279236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083279236 |
| Entity Type | Individual |
| Full Name | THOMAS JACKSON GOODWIN |
| Practice Address |
404 Woodland Dr Elizabethtown NC 28337-8842 |
| Mailing Address |
Po Box 1054 Elizabethtown NC 28337-1054 |
| Practice Telephone | 9108622662 |
| Mailing Telephone | 9108744222 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568481448 | Thomas A Goodwin | Family Medicine | 8088 Vineyard Drive, Kalamazoo, MI 49009 | 2006-07-19 |
| 1952357949 | Thomas C Goodwin | Psychiatry & Neurology | 90 Southside Avenue, Suite 300, Asheville, NC 28801-4100 | 2006-05-25 |
| 1750628939 | Thomas Wayne Goodwin | Psychologist | 315 E Queen St, Pendleton, SC 29670-1721 | 2013-01-09 |
| 1821196692 | Thomas Goodwin | Chiropractor | 1018 Broad St, Summersville, WV 26651-1711 | 2006-09-20 |
| 1649208851 | Thomas Earl Goodwin | Orthopaedic Surgery | 8854 W Emerald St, Suite 102, Boise, ID 83704-4844 | 2006-06-28 |
| 1770588899 | Thomas M Goodwin | Obstetrics & Gynecology | 1400 S Grand Ave, Ste 805, Los Angeles, CA 90015-3011 | 2005-06-15 |
| Street Address |
404 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-8842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| 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 |
|---|---|---|---|---|
| 1821514944 | Thomas Caleb Watts | Physician Assistant | 1310 Woodland Dr, Elizabethtown, KY 42701-2651 | 2017-08-21 |
| 1992037709 | Pack Family Medicine, Pllc | Physician Assistant | 212 S Pine St, Elizabethtown, NC 28337-9163 | 2010-02-03 |
| 1992940233 | Jamie Lynn Hammond | Physician Assistant | 300a Mckay St, Elizabethtown, NC 28337-9037 | 2008-12-15 |
| 1518111509 | Todd Michael Rowe | Physician Assistant | 1414 Amandajo Dr, Elizabethtown, KY 42701-4639 | 2008-11-04 |
| 1427152438 | Lyn A Govette | Physician Assistant | 426 East G St, Elizabethtown, TN 37643 | 2006-09-11 |
| 1154303675 | Brandon Chase Wampler | Physician Assistant | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2005-11-18 |
| 1447250584 | Chanty Lynn Headspeth | Physician Assistant | 906 Woodland Dr, Ste 102, Elizabethtown, KY 42701-2752 | 2005-07-29 |
| 1124028246 | Carla Renee Fray | Physician Assistant | 101 Financial Pl Ste 104, Elizabethtown, KY 42701-8481 | 2005-07-29 |
| 1225038086 | Kelly R Richardson | Physician Assistant | 914 N Dixie Ave, Suite 304, Elizabethtown, KY 42701-2520 | 2005-07-22 |
| 1548872583 | Zachary David Martin | Physician Assistant | 1 Continental Dr, Elizabethtown, PA 17022-2231 | 2020-08-20 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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| 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.