Patrick G Goodman (NPI# 1639392558, PAC ID# 6800966706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1639392558 |
| PAC ID by PECOS | 6800966706 |
| Professional Enrollment ID | I20080604000373 |
| Full Name | Patrick G Goodman |
| Organization Legal Name | CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC |
| Address |
39 Kent Rd Suite 8 Tifton GA 31794-1697 |
| Phone Number | 2293912910 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2004 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 1850544289 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| 110089 | COFFEE REGIONAL MEDICAL CENTER |
| 110073 | DORMINY MEDICAL CENTER |
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 39 Kent Rd, Suite 8, Tifton, GA 31794-1697 | 2293912910 | CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% |
| Organization Legal Name | CENTERS FOR PAIN MANAGEMENT OF GEORGIA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don T Smith Jr. | Anesthesiology | Centers for Pain Management of Georgia LLC | 910 N 5th St, Cordele, GA 31015-3254 |
| Street Address |
39 KENT RD SUITE 8 |
| City | TIFTON |
| State | GA |
| Zip | 31794-1697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Alan Savelli | Internal Medicine | 39 Kent Rd, Suite 1, Tifton, GA 31794-1697 | |
| Marvin T Mcafee Iii | Physician Assistant | Tift Regional Health System, Inc. | 39 Kent Rd, Tifton, GA 31794-1697 |
| Megan Robbins | Nurse Practitioner | Tift Regional Health System, Inc. | 39 Kent Rd, Suite 1, Tifton, GA 31794-1697 |
| Shannon L Price | Obstetrics/gynecology | Tift Regional Health System, Inc. | 39 Kent Rd, Suite 1, Tifton, GA 31794-1697 |
| Lora Denise Efaw | Family Practice | Lora Fulp Efaw Md PC | 39 Kent Rd, Suite 2, Tifton, GA 31794-1698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | TIFTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Patrick G Goodman.
| 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.