Gerri Beth Goodman, PH D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002506 Issued in GA

Practice address

2751 Buford Hwy NE
Druid Pointe Suite 401
Atlanta, GA 30324-3207

Phone

(404) 639-5556

Fax

(404) 639-5558

NPI assigned

Jan 25, 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 12, 2019 through Apr 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114997608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE",
            "address_2": "DRUID POINTE SUITE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "404-639-5556",
            "fax_number": "404-639-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE",
            "address_2": "DRUID POINTE SUITE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "404-639-5556",
            "fax_number": "404-639-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "GERRI",
        "middle_name": "BETH",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin D Goodlow, MD
• Alan T. Goodman, DDS, MS
• Alyson Becca Goodman, MD, MPH
• Daniel S Goodman, M.D.
• Erin Goodman
• Karen Lee Goodman, PT
• Kina Le Goodman, M.D.
• Michael Goodman, MD, MPH
• Michael Joseph Goodman, MD
• Natasha Goodman, PHD, LPC, CPCS

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.