Individual provider Active NPI

Jamie Alan Goodman, D.C.

  • Chiropractor
  • Palm Harbor, FL
National Provider Identifier
1285694414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7832 Issued in FL
Practice address
2206 Curlew Rd
Palm Harbor, FL 34683-6823
Phone
(727) 772-7788
Fax
(727) 772-0400
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7832 FL Primary

Addresses

Primary practice location

2206 Curlew Rd
Palm Harbor, FL 34683-6823

Mailing address

2206 Curlew Rd
Palm Harbor, FL 34683-6823
Phone (727) 772-7788

Other practice location 1

2323 Curlew Rd
Suite 6C
Dunedin, FL 34698-9330
Phone (727) 772-7788

Other identifiers 3

IdentifierTypeStateIssuer
70157OtherFLBLUE CROSS BLUE SHIELD
381863200MedicaidFL
619732OtherFLUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000355 FL Practitioner - Chiropractic 3072409796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamie Goodman D.C, P.a.Group PAC ID 7416114251, 2 clinicians

Practice addresses (Care Compare)

2206 Curlew Rd
Palm Harbor, FL 34683-6823
Phone (727) 772-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7832FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Goodman D.C, P.a. Chiropractor CurrentSince Jun 18, 2011 Accepting new patients
Raveling Chiropractic Center PA Chiropractor PastSince Jan 2, 2001 Accepting new patients
Garapola and Associates Chiropractic PA Chiropractor PastSince Nov 13, 2022 Accepting new patients

Locations

2323 Curlew Rd
Ste 6C
Dunedin, FL 34698
Phone (727) 772-1966

2206 Curlew Rd
Palm Harbor, FL 34683
Phone (239) 390-1800

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285694414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 CURLEW RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836823",
            "telephone_number": "727-772-7788",
            "fax_number": "727-772-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 CURLEW RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346836823",
            "telephone_number": "727-772-7788",
            "fax_number": "727-772-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Curlew Rd",
            "address_2": "Suite 6C",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346989330",
            "country_code": "US",
            "telephone_number": "727-772-7788",
            "fax_number": "727-772-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JAMIE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70157",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381863200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "619732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.