Henry North Goodwin Jr., MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

051325 Issued in GA

Practice address

4350 Towne Centre Dr Ste 2200
Evans, GA 30809-3301

Phone

(706) 722-0705

Fax

(762) 333-0496

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Medical College of Georgia School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Augusta Urology Associates, LLCGroup PAC ID 9234226440, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111
• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• Allendale County Hospital Hospital, Fairfax, SC, CCN 421300
• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.190

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.

• Augusta Urology Associates, LLC

  • Specialist
  • Evans, GA
  • NPI 1366511834
  Medicare reassignment Care Compare group NPD
• Augusta Urology Associates, LLC

  • Non-Pharmacy Dispensing Site
  • Evans, GA
  • NPI 1922750462
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation
• University McDuffie County Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Thomson, GA
  • NPI 1982600540
  Care Compare affiliation
• Allendale County Hospital Board

  • General Acute Care Hospital
  • Fairfax, SC
  • NPI 1609866912
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1265467286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 2200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-722-0705",
            "fax_number": "762-333-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 TOWNE CENTRE DR STE 2200",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093301",
            "telephone_number": "706-722-0705",
            "fax_number": "762-333-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "HENRY",
        "middle_name": "NORTH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "051325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516007272A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deandre Omar Goins
• Susan M Goldberg, MD
• Golden Circle Comprehensive Services LLC
• Carlos Golston, CCC, SLP
• Alice Janie Goodman, PHARMD
• Grace Pediatrics, PC
• Graham Star Enterprises
• Deundra Loraine Graham, FNP
• Vanessa Wyche Graham, PHD, MSN, RN, LPC
• Nina Grandin, O.T.

• Urology Physician in Evans, GA
• Providers in Evans, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.

Verify at the official NPI Registry.