DR. JACEY ELIZABETH GOODWIN (NPI# 1568653186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568653186 |
| Entity Type | Individual |
| Full Name | DR. JACEY ELIZABETH GOODWIN |
| Credential | DMD |
| Practice Address |
4850 Highway 19 S Zebulon GA 30295-3486 |
| Mailing Address |
Po Box 520 Milner GA 30257-0520 |
| Practice Telephone | 4046179695 |
| Mailing Telephone | 4046179695 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013095 | GA | Dental Providers |
| Street Address |
4850 HIGHWAY 19 S |
| City | ZEBULON |
| State | GA |
| Zip Code | 30295-3486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842352 | Kelli Kaczmarek | Counselor | 9829 Us-19, Zebulon, GA 30295 | 2020-05-11 |
| 1730710914 | Servemed, Inc | Pharmacy | 10263 Us Hwy 19, Suite 226, 226 Plaza Drive, Zebulon, GA 30295 | 2020-01-28 |
| 1497134308 | Eva White | Nurse Practitioner | 1070 County Farm Rd, Williamson, GA 30295 | 2015-05-26 |
| 1780017822 | Palmetto Family Dental of Pike County | Clinic/Center | 15988 Barnesville St., Zebulon, GA 30295 | 2013-08-13 |
| 1043352271 | Kenneth David Gaskins | Pharmacist | 119 Concord Street, Zebulon, GA 30295 | 2007-02-13 |
| 1497821862 | Donna Michelle Haney | Family Medicine | 16125 Barnesville Street, Zebulon, GA 30295 | 2006-11-28 |
| 1669543476 | Pike County Board of Education | Local Education Agency (LEA) | 115 West Jackson Street, Zebulon, GA 30295 | 2006-11-13 |
| 1457440364 | Pike County Health Department | Registered Nurse | 541 Griffin Street, Zebulon, GA 30295 | 2006-10-11 |
| 1346353919 | Frank W. Kirby | Dentist | 7233 Us Highway 19, Zebulon, GA 30295 | 2006-08-16 |
| 1417941998 | Pike County Health Department | Public Health or Welfare | 541 Griffin Str., Zebulon, GA 30295 | 2005-09-09 |
| Find all providers in zip 30295 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992290035 | Zackyry Tyler Mohorn | Dentist | 877 E Gannon Ave Ste 401, Zebulon, NC 27597-9445 | 2018-06-29 |
| 1043357031 | Timothy Ray Creech | Dentist | 812 N Arendell Ave, Zebulon, NC 27597-2306 | 2007-01-31 |
| 1790895126 | Barrett & Collins Dds Pllc | Dentist | 313 Hospital Road, Zebulon, NC 27597 | 2006-08-30 |
| 1346353919 | Frank W. Kirby | Dentist | 7233 Us Highway 19, Zebulon, GA 30295 | 2006-08-16 |
| 1184983066 | Daniel W. Driskill | Dentist | 877 E Gannon Ave, Suite 401, Zebulon, NC 27597-9314 | 2012-05-11 |
| 1194953752 | Cole Younger | Dentist | 877 E Gannon Ave, Suite 401, Zebulon, NC 27597-9314 | 2009-06-22 |
| 1720294036 | Timothy R. Creech, Dds | Dentist | 812 N Arendell Ave, Zebulon, NC 27597-2306 | 2007-05-15 |
| 1336223718 | Brian Kevin Collins | Dentist | 313 Hospital Road, Zebulon, NC 27597 | 2006-10-24 |
| 1043311012 | Mark Shawver Barrett | Dentist | 313 Hospital Road, Zebulon, NC 27597 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1417556630 | Feyishayo Dahunsi | Dentist | 50 Main Street Market Pl Se Ste 500, Cartersville, GA 30121-3312 | 2020-10-19 |
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1770101131 | Fatima Hassan | Dentist | 722 Bonnie Oaks Ln, Evans, GA 30809-6114 | 2020-07-11 |
| 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.