Individual provider Active NPI

Joshua Glen Gooch, CRNP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1073299640
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-178677 Issued in AL
Practice address
3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone
(205) 971-7500
Fax
(205) 971-7571
NPI assigned
Jun 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 1-178677 AL Primary

Addresses

Primary practice location

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Mailing address

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

Other practice location 1

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000282 AL Practitioner - Nurse Practitioner 1759745672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

3680 Grandview Pkwy
Suite 200
Birmingham, AL 35243-3326

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 971-0139

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-178677ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC Single Specialty CurrentSince Aug 14, 2023 Accepting new patients

Locations

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • Direct secure messaging: joshua.gooch.1@9954.direct.athenahealth.com

Organizations & group practices 1

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 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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1073299640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 Grandview Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433411",
            "country_code": "US",
            "telephone_number": "205-971-7500",
            "fax_number": "205-971-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "JOSHUA",
        "middle_name": "GLEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-178677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.