Active NPI
Andrew Goodner, P.A.
- Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (404) 367-3014
- NPI assigned
- Feb 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Mailing address
355 Tower Rd NE
Suite 300
Marietta, GA 30060-9408
Phone (770) 426-4721
Other practice location 1
355 Tower Rd NE
Suite 300
Marietta, GA 30060-9408
Phone (770) 426-4721 ext. 113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients |
Locations
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
720 Transit Ave
Ste 102
Canton, GA 30114
Phone (770) 426-4721
40 Fox Chase
Cartersville, GA 30120
Phone (678) 400-2621
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
355 Tower Rd NE
Ste 300
Marietta, GA 30060
Phone (770) 426-4721
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Internal Medicine Physician
- Marietta, GA
- NPI 1750687463
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Cardiovascular Disease Physician
- Mooresville, NC
- NPI 1477878981
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1255637740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 TOWER RD NE",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609408",
"telephone_number": "770-426-4721",
"fax_number": "770-424-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "404-367-3014"
}
],
"practiceLocations": [
{
"address_1": "355 Tower Rd NE",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300609408",
"country_code": "US",
"telephone_number": "770-426-4721 x113",
"fax_number": "770-424-0391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODNER",
"first_name": "ANDREW",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-01",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.