Thomas Elliott Goodin III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15357 Issued in NC

Practice address

130 1St St W
Conover, NC 28613-2106

Phone

(828) 466-3000

NPI assigned

Apr 11, 2007

Last updated

Apr 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Healthcare Practice PLLC

  • Family Medicine Physician
  • Conover, NC
  • NPI 1134311723
  Authorized official Same address or phone
• Western Piedmont Anesthesia PA

  • Anesthesiology Physician
  • Hickory, NC
  • NPI 1134172604
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1205050424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 1ST STREET W",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286131620",
            "telephone_number": "828-466-3000",
            "fax_number": "828-464-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 1ST ST W",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132106",
            "telephone_number": "828-466-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIN",
        "first_name": "THOMAS",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "15357",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "15357",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "15357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36195",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936195",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George N. Bryan D.D.S.
• Camille Rice Glidden, CPNP
• Eric Nathan Goans, D.C.
• Brandon Heath Goble, ATC
• Annia Gonzalez Perez
• Goodwill Industries NWNC
• Glenda Robinette Grant, RN
• Graystone Family Healthcare PA
• Graystone Family Healthcare-Tenet North Carolina LLC
• Great Hope Missionary Baptist Church (Great Hope Services)

• Internal Medicine Physician in Conover, NC
• Providers in Conover, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.