NPIMap

Individual provider Active NPI

Rachael D Goodwin, MD

  • Family Medicine Physician
  • Batesville, AR
National Provider Identifier
1124580832
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-14740 Issued in AR
Practice address
1993 Harrison St
Batesville, AR 72501-7309
Phone
(870) 698-9991
Fax
(870) 698-0022
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-14740 AR Primary

Addresses

Primary practice location

1993 Harrison St
Batesville, AR 72501-7309

Mailing address

PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000

Other names 1

  • Rachael D Galloway Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824003114 AR Practitioner - Family Practice 7517292451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians

Practice addresses (Care Compare)

1993 Harrison St
Batesville, AR 72501-7309
Phone (870) 698-9991

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Batesville, AR, CCN 047080
  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
  • White River Medical Center Hospital, Batesville, AR, CCN 040119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

1993 Harrison St
Batesville, AR 72501
Phone (870) 698-9991

311 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-4150

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

Organizations & group practices 3

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1124580832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251420",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251420",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017309",
            "telephone_number": "870-698-9991",
            "fax_number": "870-698-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "RACHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "GALLOWAY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.