Active NPI
Charles C. Goodno, M.D.
- Occupational Medicine Physician
- Chapel Hill, NC
National Provider Identifier
1053567479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 28863
- Practice address
- 101 Conner Dr
Suite 200
Chapel Hill, NC 27514-7038 - Phone
- (919) 945-1397
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28863 | NC | |
| Occupational Medicine Physician | 2083X0100X | 28863 | NC | Primary |
Addresses
Primary practice location
101 Conner Dr
Suite 200
Chapel Hill, NC 27514-7038
Mailing address
PO Box 2463
Chapel Hill, NC 27515-2463
Phone (919) 945-1307
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28863 | NC | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1053567479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2463",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275152463",
"telephone_number": "919-945-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CONNER DR",
"address_2": "SUITE 200",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275147038",
"telephone_number": "919-945-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODNO",
"first_name": "CHARLES",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "28863",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "NC",
"license": "28863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.