GOODWIN CHILDRENS CLINIC, PLC (NPI# 1548515638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548515638 |
| Entity Type | Organization |
| Organization Name | GOODWIN CHILDRENS CLINIC, PLC |
| Practice Address |
9486 Highway 412 W Lexington TN 38351-5713 |
| Mailing Address |
Po Box 185 Lexington TN 38351-0185 |
| Practice Telephone | 7317980868 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Authorized Official Name | MARY KATHERYN GOODWIN (NURSE PRACTITIONER/OWNER) |
| Authorized Official Telephone | 7317980868 |
| Authorized Official Credential | MSN, APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
13401 | TN | Ambulatory Health Care Facilities |
| Street Address |
9486 HIGHWAY 412 W |
| City | LEXINGTON |
| State | TN |
| Zip Code | 38351-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134187818 | Heather Mckee | Internal Medicine | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2006-05-03 |
| 1730520388 | Mitzi Dignos Williams | Nurse Practitioner | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2013-07-11 |
| 1396033379 | Delta Clinics, Plc | Internal Medicine | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2011-07-12 |
| 1730343377 | Mary Katheryn Jones Goodwin | Nurse Practitioner | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2008-07-14 |
| 1457523490 | Christine Hardin Evans | Family Medicine | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2008-03-31 |
| 1679511026 | Elliot Emile Kurban | Internal Medicine | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2006-06-04 |
| 1649218603 | Jonathan D Lentz | Pediatrics | 9486 Highway 412 W, Lexington, TN 38351-5713 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1659627388 | Candace S Willis | Nurse Practitioner | 864 W Church St Ste A, Lexington, TN 38351 | 2012-07-31 |
| 1356650329 | Robert W Spain | Pharmacist | 654 West Church St, Lexington, TN 38351 | 2010-09-24 |
| 1699944819 | Cynthia Williams | Physical Therapy Assistant | 52 First St, Lexington, TN 38351 | 2008-02-21 |
| 1588703615 | Pansy Hayes Davis | Preventive Medicine | 90 Rush St, Lexington, TN 38351 | 2007-02-05 |
| 1467505958 | Tara Hendrix | Nurse Practitioner | 9550 Hwy 412w Suite C, Lexington, TN 38351 | 2007-01-19 |
| 1760532923 | State of Tennessee | Public Health or Welfare | 90 Rush Street, Lexington, TN 38351 | 2007-01-11 |
| 1154402667 | Professional Arts Pharmacy, LLC | Pharmacy | 270 West Church St Suite C, Lexington, TN 38351 | 2006-10-18 |
| 1891881090 | Jones Pharmacy, LLC | Pharmacy | 101 Lexington Plaza, Lexington, TN 38351 | 2006-10-05 |
| 1366453060 | Tommy Wayne Page | Dentist | 104 Lexington Plaza, Lexington, TN 38351 | 2006-08-10 |
| Find all providers in zip 38351 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
| 1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
| 1265906192 | Core Chiropractic and Family Wellness Pllc | Clinic/Center | 524 E.second St, Lexington, KY 40508 | 2019-01-14 |
| 1467908095 | Careatc - Leggett & Platt - Lexington, Nc | Clinic/Center | 3040 Junior Order Home Road, Lexington, NC 27292 | 2016-09-01 |
| 1518217389 | Wade D Reynolds Do, LLC | Clinic/Center | 111 Ivy Park Ln, Suite C, Lexington, SC 29072-8289 | 2012-09-19 |
| 1023266509 | Family First Medical Clinic | Clinic/Center | 21 W Church St, Lexington, TN 38351-2009 | 2008-09-08 |
| 1013905710 | Transsouth Healthcare PC | Clinic/Center | 120 E Church St, Lexington, TN 38351-1821 | 2005-10-07 |
| 1104459502 | Chevy Chase Primary Care LLC | Clinic/Center | 330 Romany Rd, Lexington, KY 40502-2404 | 2020-02-14 |
| 1538527254 | Viphealth LLC | Clinic/Center | 117 Park Place Ct, Lexington, SC 29072-6690 | 2016-02-09 |
| Find all providers in LEXINGTON | ||||
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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.