NPIMap

Organization Active NPI

Goodenmed LLC

  • Non-emergency Medical Transport (VAN)
  • Covington, GA
National Provider Identifier
1205791225
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GOODENMED LLC
Practice address
15 Barcelona Dr
Covington, GA 30016-6518
Phone
(916) 402-6211
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Ledontrae GoodenNPI 1528607272
Title
PA-C/Owner
Phone
(916) 385-1006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

15 Barcelona Dr
Covington, GA 30016-6518

Mailing address

15 Barcelona Dr
Covington, GA 30016-6518
Phone (916) 402-6211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1205791225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BARCELONA DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166518",
            "telephone_number": "916-402-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BARCELONA DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166518",
            "telephone_number": "916-402-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODENMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "GOODEN",
        "authorized_official_first_name": "LEDONTRAE",
        "authorized_official_title_or_position": "PA-C/OWNER",
        "authorized_official_telephone_number": "916-385-1006"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.