NPIMap

Individual provider Active NPI

Kevin Matthew Gooch, MD

  • Internal Medicine Physician
  • Whitesburg, KY
National Provider Identifier
1164415576
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33188 Issued in KY
Practice address
214 Hospital Rd
Whitesburg, KY 41858-7627
Phone
(606) 633-3631
Fax
(606) 633-3204
NPI assigned
Aug 31, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33188 KY Primary

Addresses

Primary practice location

214 Hospital Rd
Whitesburg, KY 41858-7627

Mailing address

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-3631

Other identifiers 1

IdentifierTypeStateIssuer
64331887MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20201202000821 TN Practitioner - Internal Medicine 7214076934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

711 Cook Dr
Athens, TN 37303-3499
Phone (423) 744-7585

711 Cook Dr
Suite 220
Athens, TN 37303-3486
Phone (423) 381-8478

719 Cook Dr
Athens, TN 37303-3495

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Athens Physicians Practice LLC CurrentSince Jan 18, 2020 Accepting new patients
Athens Physicians Practice LLC CurrentSince Jan 18, 2020 Accepting new patients
Athens Physicians Practice, LLC Internal Medicine Current Accepting new patients
Athens Physicians Practice LLC Past Accepting new patients

Locations

711 Cook Dr
Ste 100
Athens, TN 37303
Phone (423) 744-7585

719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585

Interoperability endpoints

  • Direct secure messaging: kevin.gooch.1@19363.direct.athenahealth.com
  • Direct secure messaging: kevingooch@tnmhpf.allscriptsdirect.net
  • Direct secure messaging: matthewgooch@arh.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164415576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3631",
            "fax_number": "606-633-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3631",
            "fax_number": "606-633-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOCH",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64331887",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.