Individual provider Active NPI

Beth Goodrich Goldstein, MD

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1073594412
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38771 Issued in NC
Practice address
2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517-8914
Phone
(919) 407-1994
Fax
(919) 401-1924
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 38771 NC Primary

Addresses

Primary practice location

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517-8914

Mailing address

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27514-8914
Phone (919) 407-1994

Other identifiers 2

IdentifierTypeStateIssuer
38771OtherNC LIC
8936146MedicaidNC

Other names 1

  • Beth Lynn Goodrich Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050914000819 NC Practitioner - Dermatology 4385622109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dermatology Center PAGroup PAC ID 8123006947, 31 clinicians

Practice addresses (Care Compare)

2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
82.92
Promoting interoperability
100
Improvement activities
40
Cost
92.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of tissue1-10
Removal of skin lesions65
Removal of skin cancer775
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dermatology Center Current Accepting new patients
Central Dermatology Center, PA Dermatology CurrentSince Aug 1, 1998 Accepting new patients
Modern Ritual Health PC Dermatology Current Accepting new patients
Skin Surgery Center PA Dermatology Past Accepting new patients

Locations

110 Preston Executive Dr
Ste 100
Cary, NC 27513
Phone (919) 653-1344

110 Preston Executive Dr
Ste 108
Cary, NC 27513
Phone (919) 653-1344

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517
Phone (919) 282-5534

55 Vilcom Center Dr
Ste 130
Chapel Hill, NC 27514
Phone (984) 205-9299

1301 Castlepointe Dr
Fuquay Varina, NC 27526
Phone (984) 849-4328

855 East St
Pittsboro, NC 27312
Phone (919) 542-2731

1212 Cedarhurst Dr
Ste 102
Raleigh, NC 27609
Phone (919) 431-9911

1210 Central Dr
Sanford, NC 27330
Phone (919) 776-5286

Interoperability endpoints

  • FHIR API: https://centralderm.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1073594412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY",
            "address_2": "STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275148914",
            "telephone_number": "919-407-1994",
            "fax_number": "919-401-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY",
            "address_2": "STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-407-1994",
            "fax_number": "919-401-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "BETH",
        "middle_name": "GOODRICH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2023-10-05",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "38771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LIC",
            "identifier": "38771",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GOODRICH",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.