Individual provider Active NPI

Jody Ruth Goard, N.P.

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1235325051
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62704 Issued in WV
Practice address
501 Morris St
Charleston, WV 25301-1326
Phone
(304) 388-9677
NPI assigned
Sep 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 62704 WV
Family Nurse Practitioner 363LF0000X 0024183184 VA
Family Nurse Practitioner 363LF0000X 62704 WV Primary

Addresses

Primary practice location

501 Morris St
Charleston, WV 25301-1326

Mailing address

PO Box 7000
Morgantown, WV 26507-7000

Other practice location 1

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

Other names 1

  • Jody Ruth Stagg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, SC, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20121211000342 WV Practitioner - Nurse Practitioner 4183876576 Reassigns benefits to 3 organizations
I20220322002888 VA Practitioner - Nurse Practitioner 4183876576 Reassigns benefits to 8 organizations
I20240411000555 SC Practitioner - Nurse Practitioner 4183876576 Reassigns benefits to 1 organization
I20240503001480 DC Practitioner - Nurse Practitioner 4183876576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingleside Physician Services, LLCGroup PAC ID 6103174255, 12 clinicians
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Kingsford Physician Services LLCGroup PAC ID 0840541017, 15 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians

Practice addresses (Care Compare)

1 Arh Lane
Low Moor, VA 24457
Phone (540) 862-6011

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 462-1200

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100

2900 Lamb Cir
Christiansburg, VA 24073-6344
Phone (540) 639-5690

Hospital & facility affiliations

  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304
  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
62704WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Mar 17, 2022 Accepting new patients
Ingleside Physician Services, LLC CurrentSince Mar 1, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 17, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 17, 2022 Accepting new patients
Apogee Medical Group, West Virginia, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC CurrentSince Jul 19, 2023 Accepting new patients
Wildwood Physician Services, LLC CurrentSince Dec 31, 2022 Accepting new patients
Carilion Giles Community Hospital CurrentSince Mar 17, 2022 Accepting new patients
Carilion Medical Center CurrentSince Mar 17, 2022 Accepting new patients
Carilion Healthcare Corporation CurrentSince Mar 17, 2022 Accepting new patients
Cogent Healthcare of Georgia PC CurrentSince Jan 28, 2024 Accepting new patients
THS Physician Partners Inc Family CurrentSince Jun 20, 2024 Accepting new patients
Kanawha Institute for Social Research & Action, Inc. Family CurrentSince Nov 1, 2012 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince May 10, 2022 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 17, 2022 Accepting new patients
Kingsford Physician Services, LLC CurrentSince Jul 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC CurrentSince Feb 28, 2024 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

302 Medical Park Dr
Ste 215
Walterboro, SC 29488
Phone (843) 549-5557

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

2900 Lamb Cir
Christiansburg, VA 24073
Phone (540) 731-2114

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

131 Perkins Ave
Dunbar, WV 25064
Phone (304) 205-0540

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1189900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1235325051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7000",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265077000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MORRIS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011326",
            "telephone_number": "304-388-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOARD",
        "first_name": "JODY",
        "middle_name": "RUTH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-16",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "62704",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024183184",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "62704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "STAGG",
            "middle_name": "RUTH",
            "credential": "FNP- BC, AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.