Wendy Smith Goza, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032476 Issued in GA

Practice address

180 Marion Blvd
Fayetteville, GA 30215-2174

Phone

(770) 461-0824

Fax

(770) 719-9314

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114083987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MARION BLVD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152174",
            "telephone_number": "770-461-0824",
            "fax_number": "770-719-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MARION BLVD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152174",
            "telephone_number": "770-461-0824",
            "fax_number": "770-719-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZA",
        "first_name": "WENDY",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "032476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Derrick Gordon, LPC
• Priyanka Gorukanti
• David Phillip Gowdy, M.D.
• Marysue C Goza, M.D.
• Sara H. Goza, M.D.
• Graceful Handz Salon LLC
• Kristen Dawn Graddy, OTR/L
• Grady Health System
• Lisa Graefinger, PHARM D
• Nancy Welch Graf, PA-C

• Internal Medicine Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.