Active NPI
Amanda J Goodwin, D.C.
- Chiropractor
- Atlanta, GA
National Provider Identifier
1083048052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009251
- Practice address
- 95 Cliftwood Dr
Suite C
Atlanta, GA 30328-4917 - Phone
- (404) 257-0188
- Fax
- (404) 257-9054
- NPI assigned
- Aug 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009251 | GA | Primary |
Addresses
Primary practice location
95 Cliftwood Dr
Suite C
Atlanta, GA 30328-4917
Mailing address
95 Cliftwood Dr
Suite C
Atlanta, GA 30328-4917
Phone (404) 257-0188
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009251 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1083048052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 CLIFTWOOD DR",
"address_2": "SUITE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284917",
"telephone_number": "404-257-0188",
"fax_number": "404-257-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CLIFTWOOD DR",
"address_2": "SUITE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284917",
"telephone_number": "404-257-0188",
"fax_number": "404-257-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "AMANDA",
"middle_name": "J",
"name_prefix": "Miss",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.