Active NPI
John P. Goldfield, PA-C
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1164408878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 104133
- Practice address
- 2501 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6346 - Phone
- (919) 863-4128
- Fax
- (919) 863-4157
- NPI assigned
- Dec 15, 2005
- Last updated
- Mar 30, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 104133 | NC | Primary |
Addresses
Primary practice location
2501 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6346
Mailing address
2501 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6346
Phone (919) 863-4128
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgoldfield11848@direct.UNC.nchie.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- jgoldfield11848@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1164408878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 BLUE RIDGE RD STE 250",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076346",
"telephone_number": "919-863-4128",
"fax_number": "919-863-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 BLUE RIDGE RD STE 250",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076346",
"telephone_number": "919-863-4128",
"fax_number": "919-863-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFIELD",
"first_name": "JOHN",
"middle_name": "P.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "104133",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgoldfield11848@direct.UNC.nchie.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2500 Blue Ridge Rd Ste 417",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.