Jeremy Dalton Goodwin (NPI# 1790745487, PAC ID# 3577749928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790745487 |
| PAC ID by PECOS | 3577749928 |
| Professional Enrollment ID | I20110519000146 |
| Full Name | Jeremy Dalton Goodwin |
| Address |
431 S 3rd St Gadsden AL 35901-5210 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010104 | GRANDVIEW MEDICAL CENTER |
| 010046 | RIVERVIEW REGIONAL MEDICAL CENTER |
| 010005 | MARSHALL MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 431 S 3rd St, Gadsden, AL 35901-5210 |
| Street Address |
431 S 3RD ST |
| City | GADSDEN |
| State | AL |
| Zip | 35901-5210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Just | Neurology | John A Just Md, 502 Soth 4th Street, Gadsden, AL 35901 | |
| James A Mccain | Internal Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Janice L Parker | Nurse Practitioner | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Lawrence R Ware | Family Medicine | Quality of Life Health Services Inc | 1020 Tuscaloosa Ave, Gadsden, AL 35901-3005 |
| Smithson O Ahiabuike | Internal Medicine | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
| Richard A West | Nurse Practitioner | Quality of Life Health Services Inc | 420 N 6th St, Gadsden, AL 35901-3244 |
| Janie T Teschner | General Practice | 1016 Forrest Ave, Gadsden, AL 35901-3540 | |
| Jordan C Holder | Nurse Practitioner | 1024 1st Ave, Gadsden, AL 35901-3544 | |
| Frederick W Kelly | Family Medicine | 1024 1st Ave, Gadsden, AL 35901-3544 | |
| Donna Lee | Optometry | 221 Broad St, Gadsden, AL 35901-3713 | |
| Find all physicians in zip 35901 | |||
| City | GADSDEN |
| Zip Code | 35901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GADSDEN + FAMILY MEDICINE |
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| 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.