Individual provider Active NPI

Garrett Martin Goodlett, DC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1003499054
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14326 Issued in FL
Practice address
6320 Saint Augustine Rd Ste 1
Jacksonville, FL 32217-2813
Phone
(904) 320-0808
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16284 AR
Chiropractor 111N00000X 14326 FL Primary

Addresses

Primary practice location

6320 Saint Augustine Rd Ste 1
Jacksonville, FL 32217-2813

Mailing address

8510 Highfield Ave
Jacksonville, FL 32216-9290
Phone (731) 694-3773

Other practice location 1

630 Jacksonville Dr
Jacksonville Beach, FL 32250-3814
Phone (904) 320-0808

Other practice location 2

1543 Kingsley Ave Ste 9
Orange Park, FL 32073-4583
Phone (904) 320-0831

Other practice location 3

2907 Spring Glen Rd
Jacksonville, FL 32207-5015
Phone (904) 320-0773

Other practice location 4

3000 Dunn Ave Ste 13
Jacksonville, FL 32218-4501
Phone (904) 320-0183

Other practice location 5

5233 Ricker Rd Ste 102
Jacksonville, FL 32210-1439
Phone (904) 320-0706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14326FLMDClinical Social Worker
16284ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Rehab L.L.C Chiropractor PastSince Mar 13, 2022 Accepting new patients
Omnis Rehab North Little Rock LLC Chiropractor PastSince Nov 9, 2021 Accepting new patients

Networks

  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • AL HMO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • FL HMO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1003499054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 HIGHFIELD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169290",
            "telephone_number": "731-694-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172813",
            "telephone_number": "904-320-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Jacksonville Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503814",
            "country_code": "US",
            "telephone_number": "904-320-0808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1543 Kingsley Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734583",
            "country_code": "US",
            "telephone_number": "904-320-0831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2907 Spring Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322075015",
            "country_code": "US",
            "telephone_number": "904-320-0773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Dunn Ave Ste 13",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184501",
            "country_code": "US",
            "telephone_number": "904-320-0183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5233 Ricker Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322101439",
            "country_code": "US",
            "telephone_number": "904-320-0706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODLETT",
        "first_name": "GARRETT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2023-05-09",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16284",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.