DR. PATRICK GLENN GOODMAN (NPI# 1639392558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639392558 |
| Entity Type | Individual |
| Full Name | DR. PATRICK GLENN GOODMAN |
| Credential | MD |
| Practice Address |
1493 Kennedy Rd Tifton GA 31794-4161 |
| Mailing Address |
2773 Marshall Dr Tifton GA 31793-8101 |
| Practice Telephone | 2293912910 |
| Practice Fax Number | 2292380124 |
| Mailing Telephone | 2292380265 |
| Mailing Fax Number | 2292380953 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
59158 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548469968 | Patrick Thomas Goodman | Counselor | 1511 E Edgemont Ave, Phoenix, AZ 85006-1131 | 2007-07-16 |
| 1134259047 | Patrick William Goodman | Dentist | 113 South Kalamazoo Street, White Pigeon, MI 49099 | 2007-03-07 |
| 1801852850 | Patrick Adam Goodman | Dentist | 5060 Highway 260, Lakeside, AZ 85929-5150 | 2006-04-26 |
| 1962500694 | Patrick B Goodman | Psychiatry & Neurology | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2006-09-20 |
| Street Address |
1493 KENNEDY RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616830 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1357 Hembree Rd Ste 220, Roswell, GA 30076-5722 | 2020-07-07 |
| 1902424914 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 | 2020-07-07 |
| 1144865528 | Lionel Terry Johnson | Pain Medicine | 5825 Glenridge Dr Ste 2-212, Atlanta, GA 30328-5394 | 2019-11-09 |
| 1750931168 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 100 Liberty Blvd Ste 210, Canton, GA 30114-2852 | 2019-09-17 |
| 1639637762 | Tmc Tanner Pain Management Inc | Pain Medicine | 150 Henry Burson Ave Ste 110, Carrollton, GA 30117-4408 | 2019-03-07 |
| 1811454820 | Healthmed Interventional Pain Management | Pain Medicine | 4535 Winters Chapel Rd Ste B, Doraville, GA 30360-2705 | 2019-02-26 |
| 1639641384 | Spine Center Atlanta North, LLC | Pain Medicine | 3540 Duluth Park Ln Ste 120, Duluth, GA 30096-3200 | 2018-12-19 |
| 1144707001 | Thrive Medical Partners LLC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste A, Gainesville, GA 30501-3874 | 2018-07-24 |
| 1861909533 | Comprehensive Spine & Pain LLC | Pain Medicine | 939 Bob Arnold Blvd Ste G, Lithia Springs, GA 30122-3258 | 2018-01-04 |
| 1194274001 | Spine Center Atlanta East, LLC | Pain Medicine | 1309 Wellbrook Cir., Ste H, Conyers, GA 30012-3873 | 2016-10-04 |
| 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.