Individual provider Active NPI

Jessica Theresa Goodwin, M.D.

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1063822898
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
S3176 Issued in TX
Practice address
11970 N Central Expy Ste 270
Dallas, TX 75243-3770
Phone
(214) 818-0935
Fax
(214) 887-3525
NPI assigned
May 1, 2014
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X S3176 TX Primary

Addresses

Primary practice location

11970 N Central Expy Ste 270
Dallas, TX 75243-3770

Mailing address

11970 N Central Expy Ste 270
Dallas, TX 75243-3770
Phone (214) 818-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20221010001253 TX Practitioner - Plastic and Reconstructive Surgery 9032334388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

3600 Gaston Ave
Suite 1055
Dallas, TX 75246-1910
Phone (972) 817-6170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 29, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 29, 2022 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

3417 Gaston Ave
Ste 600
Dallas, TX 75246
Phone (469) 800-9000

3500 Gaston Ave
Dallas, TX 75246

3600 Gaston Ave
Ste 1055
Dallas, TX 75246
Phone (214) 821-4540

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: jgoodwin222006@direct.sw.org
  • Direct secure messaging: jgoodwin44150@direct.phhs.org

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1063822898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 270",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433770",
            "telephone_number": "214-818-0935",
            "fax_number": "214-887-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 270",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433770",
            "telephone_number": "214-818-0935",
            "fax_number": "214-887-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JESSICA",
        "middle_name": "THERESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "S3176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.