PHILLIP R GOODSON (NPI# 1245222751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245222751 |
| Entity Type | Individual |
| Full Name | PHILLIP R GOODSON |
| Credential | M.D. |
| Practice Address |
1669 Davie Ave Statesville NC 28677-3519 |
| Mailing Address |
650 Signal Hill Drive Ext Po Box 1845 Statesville NC 28625-4353 |
| Practice Telephone | 7048725201 |
| Mailing Telephone | 7048725201 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
20906 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8936234 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457454720 | Phillip D Goodson | Pharmacist | 159 Highway 53 West, Dawsonville, GA 30534-0004 | 2006-09-05 |
| Street Address |
1669 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588962 | Walter V Meadors Jr. | Obstetrics & Gynecology | 1669 Davie Ave, Statesville, NC 28677-3519 | 2005-09-14 |
| 1497303309 | Deborah Kimberly Daywalt | Nurse Practitioner | 1669 Davie Ave, Statesville, NC 28677-3519 | 2019-09-04 |
| 1710450002 | Piedmont Healthcare, Pa | Internal Medicine | 1669 Davie Ave, Statesville, NC 28677-3519 | 2019-01-09 |
| 1891172904 | Ashley Webster | Nurse Practitioner | 1669 Davie Ave, Statesville, NC 28677-3519 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720336357 | Nailarashida Larena Frye | Obstetrics & Gynecology | 1446 Fern Creek Dr, Statesville, NC 28625-9376 | 2012-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142727 | The Whole Woman, Pllc | Obstetrics & Gynecology | 7509 Six Forks Rd Ste 101, Raleigh, NC 27615-5020 | 2019-12-26 |
| 1588130496 | Charlotte Marie Wise | Obstetrics & Gynecology | 1000 Southfork Village Dr Apt 101, Belmont, NC 28012-7823 | 2018-10-17 |
| 1639696149 | Raleigh Gynecology & Wellness, Pa | Obstetrics & Gynecology | 2304 Wesvill Ct Ste 210, Raleigh, NC 27607-2973 | 2017-08-25 |
| 1366992174 | Chapel Hill Gynecology Pllc | Obstetrics & Gynecology | 103 Stoneridge Dr, Chapel Hill, NC 27514-9733 | 2016-10-05 |
| 1477963874 | Kathryn Elizabeth Barletta | Obstetrics & Gynecology | 4325 Lake Boone Trl Ste 315, Raleigh, NC 27607 | 2014-05-07 |
| 1750708848 | Woman To Woman Gynecology Pllc | Obstetrics & Gynecology | 3909 Sunset Ridge Rd Ste 201, Raleigh, NC 27607-6668 | 2014-03-26 |
| 1952736142 | Brandon Gynecology Associates, Pa | Obstetrics & Gynecology | 10310 Mallard Creek Rd Ste 101d, Mallard Crossing Medical Park, Charlotte, NC 28262-4563 | 2013-09-06 |
| 1306181128 | Carolinas Medical Center-northeast | Obstetrics & Gynecology | 10030 Edison Square Dr, 100-a, Concord, NC 28027-8252 | 2012-12-05 |
| 1205105053 | Bohdan Malyk | Obstetrics & Gynecology | 1646 Verrazzano Dr, Wilmington, NC 28405-4224 | 2011-12-23 |
| 1548497209 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 20 S Medical Ct, Marion, NC 28752-4972 | 2009-06-19 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on PHILLIP R GOODSON.
| 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.