MR. PHILLIP D GOODSON (NPI# 1457454720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457454720 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP D GOODSON |
| Credential | RPH |
| Practice Address |
159 Highway 53 West Dawsonville GA 30534-0004 |
| Mailing Address |
Po Box 204 Dawsonville GA 30534-0004 |
| Practice Telephone | 7062652020 |
| Practice Fax Number | 7062652987 |
| Mailing Telephone | 7062652020 |
| Mailing Fax Number | 7062652987 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH010965 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000119677A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222751 | Phillip R Goodson | Obstetrics & Gynecology | 1669 Davie Ave, Statesville, NC 28677-3519 | 2005-08-19 |
| Street Address |
159 HIGHWAY 53 WEST |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 30534-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780175331 | Sharon Redd | Occupational Therapist | 923 Riverbend Rd, Dawsonville, GA 30534 | 2018-05-18 |
| 1588103808 | Hearing Aid Solutions LLC | Hearing Instrument Specialist | 169 Hwy 9, Suite 100, Dawsonville, GA 30534 | 2017-02-20 |
| 1881140598 | Meagan Wilson | Registered Nurse | 6002 Ga 53, Suite 100, Dawsonville, GA 30534 | 2016-09-01 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1174961304 | Meredith Michelle Tatum Hulsey | Physician Assistant | 1080 Lumpkin Campground Road S, Suite 300, Dawsonville, GA 30534 | 2013-06-10 |
| 1932467115 | David Kenneth Woolsey | Chiropractor | 1100 Old Dawson Village Rd, Suite 010, Dawsonville, GA 30534 | 2012-04-25 |
| 1275836769 | Martha Leslie Baker | Counselor | 121 Old Dawson Village Rd E, Building 800, Unit 010, Dawsonville, GA 30534 | 2010-12-06 |
| 1982914073 | James Paul Whitcomb | Pharmacist | 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 | 2010-10-07 |
| 1801123302 | Sj&j Spine and Pain Group | Pain Medicine | 5959 Highway 53 W, Suite 100b, Dawsonville, GA 30534 | 2009-11-04 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| Find all providers in zip 30534 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244521 | Susan Jackson Cheek | Pharmacist | 6225 Autumn Ct, Dawsonville, GA 30534-8091 | 2020-01-12 |
| 1578861332 | Archana Ghanta | Pharmacist | 51 Highway 400 S, Dawsonville, GA 30534-6833 | 2011-03-03 |
| 1982914073 | James Paul Whitcomb | Pharmacist | 751 Highway 53 East Fred's #1451, Dawsonville, GA 30534 | 2010-10-07 |
| 1952569485 | Kelly Elaine Roper | Pharmacist | 378 Marketplace Pkwy, Dawsonville, GA 30534-7266 | 2008-05-31 |
| 1194816645 | Kasey Garrish Dillard | Pharmacist | 98 Power Center Dr, Dawsonville, GA 30534-9431 | 2006-09-28 |
| 1598709776 | Liza G. Chapman | Pharmacist | 6625 Highway 53 E, Dawsonville, GA 30534-6838 | 2006-06-16 |
| 1477519106 | Clarkson Mcclendon Driggers Jr. | Pharmacist | 751 Hwy 53 East, Dawsonville, GA 30534-0036 | 2006-04-21 |
| 1063012862 | Jennifer Hudgins Stowe | Pharmacist | 98 Power Center Dr, Dawsonville, GA 30534-9431 | 2020-10-29 |
| 1427656701 | Debora Mulugeta Fikremariam | Pharmacist | 400 Dawson Commons Cir Ste 410, Dawsonville, GA 30534-6269 | 2020-10-09 |
| 1437799079 | Kelly Austin Davis | Pharmacist | 378 Marketplace Pkwy, Dawsonville, GA 30534-7266 | 2020-01-12 |
| Find all providers in DAWSONVILLE | ||||
| City | DAWSONVILLE |
| Zip Code | 30534 |
Please comment or provide details below to improve the information on MR. PHILLIP D 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.