Robert G Goodrich, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

200001142 Issued in NC

Practice address

2704 Saint Jude St
Greensboro, NC 27405-3670

Phone

(336) 954-7546

Fax

(336) 235-4018

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of North Carolina at Chapel Hill School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greensboro Dermatology Assoc PAGroup PAC ID 2860405115, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

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.

• Greensboro Dermatology Assoc PA

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1043272784
  Medicare reassignment Care Compare group NPD
• Skin Care Physicians of Georgia, P.C.

  • Dermatology Physician
  • Macon, GA
  • NPI 1346351582
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1013914910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 SAINT JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-954-7546",
            "fax_number": "336-235-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 SAINT JUDE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053670",
            "telephone_number": "336-954-7546",
            "fax_number": "336-235-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200001142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134YU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lazaria Goodman
• Goodness of Dreams, LLC
• Katherine Poueymirou Goodpasture, MA, CCC-SLP
• Tina Goodpasture, FNP
• Callie Goodrich, MMS, PA-C
• Emma Goodson
• Heather Goodson
• Denice Goodwill, PTA
• Joseph Donati Goodwin, DO
• Carolyn Doughty Gordan, PNP

• Dermatology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.