Individual provider Active NPI

Davida Goltz, M.D.

  • Neurology Physician
  • Bronx, NY
National Provider Identifier
1053725044
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
61819 Issued in TN
Practice address
1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone
(718) 918-5000
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD471556 PA
Neurology Physician 2084N0400X 27706 MS
Neurology Physician 2084N0400X E-13234 AR
Neurology Physician 2084N0400X 61819 TN Primary

Addresses

Primary practice location

1400 Pelham Pkwy S
Bronx, NY 10461-1138

Mailing address

28 Glenwood Rd
Plainview, NY 11803-1125
Phone (201) 527-0885

Other practice location 1

3 Hospital Dr
Lewisburg, PA 17837-9362
Phone (570) 522-9771

Other practice location 2

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR, TN, OH, NY, NJ, CT, PA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20200828000522 MS Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization
I20200828000597 AR Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization
I20200902003559 TN Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization
I20210309002192 OH Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization
I20210329002015 NY Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization
I20220222001102 NJ Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization
I20230321002754 CT Practitioner - Neurology 8729324082 Reassigns benefits to 2 organizations
I20240405000023 PA Practitioner - Neurology 8729324082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albert Einstein College of Medicine of Yeshiva University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians
Evangelical Medical Services OrganizationGroup PAC ID 9133033087, 255 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

1500 W Poplar Ave
Collierville, TN 38017-0601

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 752-6131

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-2535

200 State Hwy 30 W
Suite 100
New Albany, MS 38652-3112
Phone (662) 538-2680

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (901) 226-3610

2124 14TH St
Meridian, MS 39301-4040
Phone (601) 553-6000

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-2042

255 Baptist Blvd
Columbus, MS 39705-2006

3 Hospital Dr
Suite 206
Lewisburg, PA 17837-9394
Phone (570) 522-9771

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

452 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-3724

456 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7474

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

4802 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (901) 227-9820

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-3882

631 RB Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-7021

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 647-6800

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2130

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

99 Beauvoir Ave
Summit, NJ 07902-3533
Phone (908) 522-2000

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-13234ARMDNeurology Physician
27706MSMDNeurology Physician
61819TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Dec 2, 2020 Accepting new patients
East Post Road Medical Services PC Neurology CurrentSince Mar 23, 2021 Accepting new patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Oct 21, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Evangelical Medical Services Organization CurrentSince Mar 20, 2024 Accepting new patients
Practice Associates Medical Group CurrentSince Nov 17, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Evangelical Medical Services Organization Neurology CurrentSince Mar 20, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Mount Carmel Health System CurrentSince Dec 2, 2020 Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dgoltz489643@wellspan.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1053725044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GLENWOOD RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031125",
            "telephone_number": "201-527-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379362",
            "country_code": "US",
            "telephone_number": "570-522-9771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714739",
            "country_code": "US",
            "telephone_number": "662-772-4000",
            "fax_number": "662-772-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLTZ",
        "first_name": "DAVIDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD471556",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "27706",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-13234",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "61819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.