Mary Cherka Goodwin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005059 Issued in NC

Practice address

281 E Main St
Forest City, NC 28043-3126

Phone

(828) 245-6400

Fax

(828) 245-3838

NPI assigned

Jan 21, 2011

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Rutherford Hospital Inc

  • Urology Physician
  • Rutherfordton, NC
  • NPI 1245574003
  NPD (past)

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1265737241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433126",
            "telephone_number": "828-245-6400",
            "fax_number": "828-245-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MARY",
        "middle_name": "CHERKA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01310972",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgoodwin8372@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mgoodwin8372@direct-srhs.et0939.epichosted.com",
            "address_1": "281 E Main St",
            "city": "Forest City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280433126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harold Thomas Gleaves
• Glory Therapeutics & Consulting
• Angela Goodrich
• Gregory Wayne Goodwin, PHYSICIAN ASSISTANT
• Joseph Goodwin, LMBT
• Paul R. Granzow, PA-C
• Timothy Green, PA
• Deirdre Jane Griffith, DDS
• Scott Banner Griffith, DDS
• Jerry Lee Gross, DPM

• Family Nurse Practitioner in Forest City, NC
• Providers in Forest City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.