MICHAEL L GOFORTH (NPI# 1275083651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083651 |
| Entity Type | Individual |
| Full Name | MICHAEL L GOFORTH |
| Credential | AUD |
| Practice Address |
3400 Old Milton Pkwy Bldg C, Ste 575 Alpharetta GA 30005-3707 |
| Mailing Address |
7215 Commons Cir Unit C Cheyenne WY 82009-2666 |
| Practice Telephone | 7704100202 |
| Practice Fax Number | 7704100955 |
| Mailing Telephone | 3076377415 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD004125 | GA | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | A-1012 | WY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679539324 | Michael Wayne Goforth | Specialist/Technologist | Virginia Tech Sports Medicine, 113 Merryman Center, Blacksburg, VA 24061-0001 | 2006-04-21 |
| Street Address |
3400 OLD MILTON PKWY BLDG C, STE 575 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015963 | Lisa A Vinokur | Specialist | 3400 Old Milton Pkwy, Suite C585, Alpharetta, GA 30005-4434 | 2005-07-07 |
| 1851914238 | Katherine Franklin | Obstetrics & Gynecology | 3400 Old Milton Pkwy, Alpharetta, GA 30005-3707 | 2020-05-20 |
| 1225661184 | Rebecca Word | Physical Therapist | 3400 Old Milton Pkwy, Alpharetta, GA 30005-3707 | 2020-02-19 |
| 1407227606 | Blair Hoffman | Nurse Practitioner | 3400 Old Milton Pkwy, Suite 500, Alpharetta, GA 30005-3707 | 2015-10-13 |
| 1558753442 | Maryjane Lewitt | Advanced Practice Midwife | 3400 Old Milton Pkwy, Suite 528, Alpharetta, GA 30005-3707 | 2015-03-02 |
| 1801284518 | Alpharetta Cardiology, LLC | Internal Medicine | 3400 Old Milton Pkwy, Suite C-325, Alpharetta, GA 30005-4433 | 2015-01-05 |
| 1568867356 | Medical Therapy Specialists LLC | Specialist | 3400 Old Milton Pkwy, C 330, Alpharetta, GA 30005-3707 | 2014-10-23 |
| 1194156174 | Qss Georgia LLC | Surgery | 3400 Old Milton Pkwy, Bldg C Suite 330, Alpharetta, GA 30005-3707 | 2013-12-02 |
| 1386912475 | Philip K. Robb, M.d., PC | Specialist | 3400 Old Milton Pkwy, Bldg C Ste 575, Alpharetta, GA 30005-3707 | 2011-12-05 |
| 1235423500 | North Atlanta Podiatry Grp,pc | Podiatrist | 3400 Old Milton Pkwy, Bldg C Ste 590, Alpharetta, GA 30005-3707 | 2011-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518292978 | Dana C Heath | Audiologist | 3460 Curitiba Ct, Alpharetta, GA 30022-1454 | 2009-10-02 |
| 1326298225 | Katherine Holt Mawhinney | Audiologist | 2365 Old Milton Pkwy Ste 200, Suite 200, Alpharetta, GA 30009-2140 | 2008-09-26 |
| 1265606891 | Maureen Cassidy Riski | Audiologist | 3333 Old Milton Pkwy Ste 520, Alpharetta, GA 30005-4626 | 2008-04-15 |
| 1275710931 | Daniel Hall Sisterhen | Audiologist | 3265 Kingshouse Commons, Alpharetta, GA 30022-7611 | 2008-01-24 |
| 1689860595 | Mraz Audiology Consulting, Inc | Audiologist | 3400c Old Milton Pkwy Ste 385, Alpharetta, GA 30005-4438 | 2007-09-25 |
| 1427408772 | Erin Luckett | Audiologist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2016-06-17 |
| 1841649498 | Amanda Brandino | Audiologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2016-06-05 |
| 1619380508 | Sydney Cowing | Audiologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2014-06-09 |
| 1407104789 | Sheila Dawn Pack | Audiologist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2012-08-17 |
| 1346524881 | Thomas Guerrein | Audiologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2011-10-03 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.