AMY M GOODIN (NPI# 1952569261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952569261 |
| Entity Type | Individual |
| Full Name | AMY M GOODIN |
| Credential | PA-C |
| Practice Address |
1800 12th St Meridian MS 39301-4158 |
| Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
| Practice Telephone | 6017039639 |
| Practice Fax Number | 6017033273 |
| Mailing Telephone | 6017039506 |
| Mailing Fax Number | 6017033264 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00109 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356784805 | Amy Jo Goodin | Nurse Practitioner | 6650 Cumberland Gap Pkwy, Harrogate, TN 37752-8012 | 2013-04-15 |
| Street Address |
1800 12TH ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986591 | Richard S. Abney | Internal Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2005-07-14 |
| 1962057950 | Charles D Lafleur | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2019-08-06 |
| 1255806329 | Delois Darlene Ortego | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2018-10-04 |
| 1003334301 | Amanda Danielle Simpson | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2017-09-07 |
| 1689119851 | Medical Arts Surgical Group | Surgery | 1800 12th St, Meridian, MS 39301-4158 | 2016-12-27 |
| 1053866681 | Alisha L Miller | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2016-08-24 |
| 1356791982 | Trenton Hughes | Nurse Practitioner | 1800 12th St, Meridian, MS 39301-4158 | 2016-06-14 |
| 1588037972 | Kristen Mcpherson | Nurse Practitioner | 1800 12th St, Meridian, MS 39301 | 2015-11-05 |
| 1275910663 | Rush Medical Foundation | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2015-05-05 |
| 1801294772 | Donald Jason Farrar | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2014-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164305 | Tessie Mari Mcinnally | Physician Assistant | 3015 E Magic View Dr # 115, Meridian, ID 83642-3743 | 2019-09-29 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1790224905 | Yustina Nader Rafla | Physician Assistant | 520 S Eagle Rd Ste 1243, Meridian, ID 83642-6355 | 2017-02-21 |
| 1295163160 | Kalyn Baisley | Physician Assistant | 360 E Montvue Dr # 100, Meridian, ID 83642-6318 | 2013-10-31 |
| 1063601177 | Richard A Trump | Physician Assistant | 3015 E Magic View Dr Ste 120, Meridian, ID 83642-3750 | 2007-10-15 |
| 1740476969 | Laura B Allen | Physician Assistant | 1618 Millenium Way Ste 100, Meridian, ID 83642-6457 | 2007-09-20 |
| 1568499713 | Brian D Friedt | Physician Assistant | 1618 S. Millennium Way, Suite 100, Meridian, ID 83642-6457 | 2006-06-26 |
| 1114966959 | Stephen J Frelly | Physician Assistant | 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 | 2006-06-06 |
| 1114964616 | Amber M Vickers | Physician Assistant | 1623 S. Wells Avenue, Meridian, ID 83642 | 2006-06-01 |
| 1336196757 | Kathleen Rose Nielsen | Physician Assistant | 3041 E Copper Point Dr, Meridian, ID 83642-1740 | 2006-05-30 |
| Find all providers in MERIDIAN | ||||
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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.