Individual provider Active NPI

Julia B. Goodwin, M.D.

  • Obstetrics & Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1184852378
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E9757 Issued in AR
Practice address
12921 Cantrell Rd Ste 300
Little Rock, AR 72223-1709
Phone
(501) 907-6699
Fax
(501) 224-6481
NPI assigned
Jun 25, 2009
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E9757 AR Primary
Gynecology Physician 207VG0400X E-9757 AR

Addresses

Primary practice location

12921 Cantrell Rd Ste 300
Little Rock, AR 72223-1709

Mailing address

12921 Cantrell Rd Ste 300
Little Rock, AR 72223-1709
Phone (501) 907-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20160909000658 AR Practitioner - Obstetrics/Gynecology 1254560097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Little Rock Womens Center PAGroup PAC ID 8820276835, 3 clinicians

Practice addresses (Care Compare)

12921 Cantrell Rd
Suite 300
Little Rock, AR 72223-1709
Phone (501) 907-6699

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9757ARMDObstetrics & Gynecology Physician
E-9757ARMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Little Rock Womens Center PA Gynecology CurrentSince Jul 1, 2022 Accepting new patients

Locations

12921 Cantrell Rd
Ste 300
Little Rock, AR 72223
Phone (501) 224-6699

Interoperability endpoints

  • Direct secure messaging: jgoodwin151460@direct.baptist-healthar.org
  • Direct secure messaging: julia.goodwin@ar006.digichart.direct-ci.com

Organizations & group practices 1

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 1

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1184852378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231709",
            "telephone_number": "501-907-6699",
            "fax_number": "501-224-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12921 CANTRELL RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231709",
            "telephone_number": "501-907-6699",
            "fax_number": "501-224-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JULIA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E9757",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "E-9757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.