Holly Elizabeth Goodman, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN264268 Issued in GA

Practice address

2064 Vineville Ave
Macon, GA 31204-3140

Phone

(478) 743-1478

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Goodman Other name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Cardiology Associates PCGroup PAC ID 7810985645, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICBICD/Endpoint/ICBICD

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.

• Georgia Cardiology Associates PC

  • Specialist
  • Macon, GA
  • NPI 1124077946
  Medicare reassignment Care Compare group NPD
• Dublin-Macon Cardiology, PC

  • Cardiovascular Disease Physician
  • Dublin, GA
  • NPI 1891918264
  NPD

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

• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1104497957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 ROGERS RD",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310525503",
            "telephone_number": "478-550-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043140",
            "telephone_number": "478-743-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN264268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "GOODMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tracy Kathryn Gonzalez
• Good Angelic Private Home Care
• Crystal Andrea Goodall, MD
• Donald Gooden, RBT
• Brianna Goodie, RN
• Susannah Burns Goodman, NP
• Teresa Goodridge
• Goodsleep of Ga LLC
• Stacie Goodson-Jones, LCSW
• Rachel Goodson, DO

• Acute Care Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.