Active NPI
Barbara B. Goodman, M.D.
- Family Medicine Physician
- Meridian, MS
National Provider Identifier
1285616144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12504
- Practice address
- 2800 N Hills St
Meridian, MS 39305-2643 - Phone
- (601) 693-9906
- Fax
- (601) 484-6704
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12504 | MS | Primary |
Addresses
Primary practice location
2800 N Hills St
Meridian, MS 39305-2643
Mailing address
PO Box 5183
Meridian, MS 39302-5183
Phone (601) 703-4282
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080191663 | Other | RAILROAD MEDICARE | |
| 730-09442 | Other | BLUE CROSS OF AL | |
| 00012338 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100827000343 | MS | Practitioner - Family Practice | 7315061314 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation Inc
Practice addresses (Care Compare)
2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181
6905 Hwy 145 S
Meridian, MS 39301-9771
Phone (601) 282-3271
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Centerwell Home Health
- Ochsner Rush Hospital
- Anderson Regional Medical Center
- Ochsner Watkins Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12504 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Medical Foundation | Current | Accepting new patients | |
| Rush Medical Foundation | Family Medicine | Current | Accepting new patients |
| Rush Medical Foundation | Family Medicine | Current | Accepting new patients |
| Medical Foundation, Inc. | Family Medicine | Current | Accepting new patients |
| Medical Foundation, Inc. | Current | Accepting new patients |
Locations
2800 N Hills St
Meridian, MS 39305
Phone (601) 693-9906
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123
605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925
Organizations & group practices 6
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.
-
- Clinical Medical Laboratory
- Meridian, MS
- NPI 1467857102
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Critical Access Hospital
- Quitman, MS
- NPI 1912079625
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Meridian, MS
- NPI 1952537714
-
- Home Health Agency
- Carthage, MS
- NPI 1275674533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1285616144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5183",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025183",
"telephone_number": "601-703-4282",
"fax_number": "601-703-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N HILLS ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393052643",
"telephone_number": "601-693-9906",
"fax_number": "601-484-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "BARBARA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "12504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080191663",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "730-09442",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00012338",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.