NPIMap

Individual provider Active NPI

Emily Price Goforth, PA

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1194057729
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1492 Issued in SC
Practice address
534 Woods Lake Rd
Greenville, SC 29607-2778
Phone
(864) 720-2739
Fax
(864) 720-2740
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1492 SC Primary

Addresses

Primary practice location

534 Woods Lake Rd
Greenville, SC 29607-2778

Mailing address

534 Woods Lake Rd
Greenville, SC 29607-2778
Phone (864) 720-2739

Other identifiers 1

IdentifierTypeStateIssuer
1110PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100525000089 SC Practitioner - Physician Assistant 2264561513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Allergy and Immunology, P.C.Group PAC ID 2668739160, 5 clinicians

Practice addresses (Care Compare)

534 Woods Lake Rd
Greenville, SC 29607-2778
Phone (864) 720-2739

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1492SCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Feb 18, 2010 Accepting new patients
Tribe513, P.a. CurrentSince Nov 26, 2023 Accepting new patients

Locations

534 Woods Lake Rd
Ste 200
Greenville, SC 29607

534 Woods Lake Rd
Greenville, SC 29607
Phone (864) 270-2739

1025 Verdae Blvd
Ste A
Greenville, SC 29607
Phone (864) 242-4683

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFGAD/Endpoint/FBFGAD

Organizations & group practices 4

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 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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1194057729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 WOODS LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072778",
            "telephone_number": "864-720-2739",
            "fax_number": "864-720-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 WOODS LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072778",
            "telephone_number": "864-720-2739",
            "fax_number": "864-720-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "EMILY",
        "middle_name": "PRICE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.