BRENDA GOODGAME (NPI# 1275080541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275080541 |
| Entity Type | Individual |
| Full Name | BRENDA GOODGAME |
| Practice Address |
109 Austin Way 109 Austin Way Savannah GA 31419-6207 |
| Practice Telephone | 9126593379 |
| Mailing Telephone | 9126593379 |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2016-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN 685087 | CA | Nursing Service Providers |
| Street Address |
109 AUSTIN WAY 109 AUSTIN WAY |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841541778 | Linda Joy Rutherford | Registered Nurse | 835 E 65th St, Ste. 104, Savannah, GA 31405-4421 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720626963 | Patti Mckinley Prater | Registered Nurse | 37 Calumet Pkwy Ste 101, Newnan, GA 30263-6734 | 2019-12-18 |
| 1851932156 | Nancy Ann Ivie | Registered Nurse | 4271 S Lee St Ste 101, Buford, GA 30518-3710 | 2019-10-08 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1346734217 | Ella Michelle Stephenson | Registered Nurse | 7002 Annie Walk, Lithonia, GA 30038-4675 | 2018-06-14 |
| 1689182685 | Candace Annette Thompson | Registered Nurse | 4751 Best Rd Ste 150, Atlanta, GA 30337-5601 | 2018-01-12 |
| 1093251167 | Emily Ann Brumfield | Registered Nurse | 2109 Fairburn Rd, Ste A, Douglasville, GA 30135-1037 | 2017-01-13 |
| 1437425899 | Shasheeta Youlanda Hammond | Registered Nurse | 1300 Georgian Pl Apt 5, Dalton, GA 30720-4388 | 2012-03-29 |
| 1679804603 | County Paradise Assisted Living | Registered Nurse | 546 Macon Road, Mcintyre, GA 31054 | 2010-01-14 |
| 1275775801 | Cynthia Ann Frissora Murray | Registered Nurse | 6563 Garrett Rd, Buford, GA 30518-1109 | 2009-03-27 |
| 1114105152 | Connie Lee Beardsley | Registered Nurse | 2295 Nutt Rd, Franklin, GA 30217-4855 | 2008-02-01 |
| 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.