JAMES ERIC GOFORTH (NPI# 1154841831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154841831 |
| Entity Type | Individual |
| Full Name | JAMES ERIC GOFORTH |
| Credential | CRNP |
| Practice Address |
201 Doctors Dr Dothan AL 36301-2949 |
| Mailing Address |
65 County Road 679 Coffee Springs AL 36318-6051 |
| Practice Telephone | 3347946611 |
| Practice Fax Number | 3347946614 |
| Mailing Telephone | 3344948485 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-097156 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-097156 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-097156 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821254749 | James Donavon Goforth | Chiropractor | 4851 Fountain Ave, Los Angeles, CA 90029-1655 | 2008-07-30 |
| 1487863981 | James Donald Goforth | Dentist | 3742 Katella Ave, Suite 301, Los Alamitos, CA 90720-3102 | 2007-05-21 |
| 1811945470 | James Walter Goforth | Emergency Medicine | 2972 N Center St, Hickory, NC 28601-1159 | 2006-05-05 |
| Street Address |
201 DOCTORS DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437335999 | Marien Tavarez | Internal Medicine | 201 Doctors Dr, Dothan, AL 36301-2949 | 2008-01-15 |
| 1689104903 | Trevor Shane Mcfarland | Nurse Practitioner | 201 Doctors Dr, Dothan, AL 36301-2949 | 2017-06-19 |
| 1609280494 | Samuel Braswell | Nurse Practitioner | 201 Doctors Dr, Dothan, AL 36301-2949 | 2014-06-19 |
| 1518381854 | Kimberly J. Sims | Nurse Practitioner | 201 Doctors Dr, Dothan, AL 36301-2949 | 2014-02-06 |
| 1922394592 | Leah Marie Mcknight-haas | Family Medicine | 201 Doctors Dr, Dothan, AL 36301-2949 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765872 | Tracie Diane Lavinsky | Nurse Practitioner | 13025 Alla Dr, Coker, AL 35452-3780 | 2020-09-21 |
| 1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
| 1457971079 | Lindsay Morris | Nurse Practitioner | 122 7th Ave Ne Ste D, Alabaster, AL 35007-9121 | 2020-04-23 |
| 1508492505 | Tiffany Michele Folse | Nurse Practitioner | 9618 Chariot Ave, Fairhope, AL 36532-7412 | 2020-03-21 |
| 1548809239 | Isuan Iriabho | Nurse Practitioner | Russell Medical Center, 3316 Us-280, Alexander City, AL 35010-9114 | 2019-12-30 |
| 1104476423 | Anaidra L Reese | Nurse Practitioner | 2079 S Evergreen Dr, Auburn, AL 36830-6942 | 2019-09-18 |
| 1104481944 | Deanna Montieth | Nurse Practitioner | 718 Downtowner Loop W, Mobile, AL 36609-5504 | 2019-05-07 |
| 1538622055 | Dana Marie Register | Nurse Practitioner | 11119 S County Road 49, Slocomb, AL 36375-5871 | 2019-04-11 |
| 1396218707 | Christine Wood | Nurse Practitioner | 4704 Whitesburg Dr Sw Ste 100, Huntsville, AL 35802-4302 | 2019-01-08 |
| 1780151514 | Mary Virginia Halbrooks | Nurse Practitioner | 1001 Hill St Sw, Hartselle, AL 35640-2801 | 2018-10-30 |
| Find all providers with the same taxonomy | ||||
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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.