Burton D Goodwin (NPI# 1235423047, PAC ID# 5294710448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1235423047 |
| PAC ID by PECOS | 5294710448 |
| Professional Enrollment ID | I20040622000345 |
| Full Name | Burton D Goodwin |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Address |
215 Mims Rd Sylvania GA 30467-1994 |
| Phone Number | 8885455551 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0042389231 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 111327 | BACON COUNTY HOSPITAL |
| 110002 | UPSON REGIONAL MEDICAL CENTER |
| 110092 | DODGE COUNTY HOSPITAL |
| 111323 | OPTIM MEDICAL CENTER - TATTNALL |
| Address | Phone | Organization |
|---|---|---|
| 215 Mims Rd, Sylvania, GA 30467-1994 | 8885455551 | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Organization Legal Name | SOUTH GEORGIA RADIOLOGY ASSOCIATES LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Tyler Burgner | Diagnostic Radiology | South Georgia Radiology Associates LLC | 340 Eisenhower Dr, Suite 1305, Savannah, GA 31406-1607 |
| James S Mcclellan Jr. | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| Arthur L Fritz | Diagnostic Radiology | South Georgia Radiology Associates LLC | 4045 Lankford Hwy, Exmore, VA 23350-2642 |
| Jeremy R Hill | Diagnostic Radiology | South Georgia Radiology Associates LLC | 5801 Pinehurst Byromville Rd, Pinehurst, GA 31070-6907 |
| Thomas M Meadows | Diagnostic Radiology | South Georgia Radiology Associates LLC | 117 Kite Rd, Swainsboro, GA 30401-3231 |
| Deborah J Charles | Diagnostic Radiology | South Georgia Radiology Associates LLC | 902 N 7th St, Cordele, GA 31015-3234 |
| Ian B Campbell | Diagnostic Radiology | South Georgia Radiology Associates LLC | 801 W Gordon St, Thomaston, GA 30286-3426 |
| Jeffrey David Stevens | Diagnostic Radiology | South Georgia Radiology Associates LLC | 1 Meadows Pkwy, Vidalia, GA 30474-8759 |
| Dale R Nance | Diagnostic Radiology | South Georgia Radiology Associates LLC | 407 Durden St, Vidalia, GA 30474-4600 |
| James D Darling | Diagnostic Radiology | South Georgia Radiology Associates LLC | 200 Industrial Blvd, Dublin, GA 31021-2981 |
| Street Address |
215 MIMS RD |
| City | SYLVANIA |
| State | GA |
| Zip | 30467-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua P Smith | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Jason R Pearce | Diagnostic Radiology | South Georgia Radiology Associates LLC | 215 Mims Rd, Sylvania, GA 30467-1994 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscilla G Thomas | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Sherma Peter | Family Medicine | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Maria Mascolo | Pulmonary Disease | Southeast Lung and Critical Care Specialists, PC | 209 A Mims Rd, Sylvania, GA 30467-1994 |
| John W Odom | General Surgery | Metro Surgical PC | 209 Mims Rd C, Sylvania, GA 30467-1994 |
| Kendall Kent-clark | Nurse Practitioner | Screven County Hospital LLC | 211 Mims Rd, Sylvania, GA 30467-1994 |
| Karen B Anderson | Nurse Practitioner | Screven County Family Health Center LLC | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 |
| Sidney James Morgan Iii | Family Medicine | Screven County Family Health Center LLC | 105 Rocky Ford Rd, Sylvania, GA 30467-2027 |
| Christy S Powell | Chiropractic | Screven Chiropractic Inc. | 104 Rocky Ford Rd, Sylvania, GA 30467-2044 |
| Lee Ann Scott | Clinical Psychologist | 108 E Ogeechee St, Sylvania, GA 30467-2401 |
| City | SYLVANIA |
| Zip Code | 30467 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SYLVANIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Burton D Goodwin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.