Individual provider Active NPI

Zane Stephen Gooding, D.O.

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1285920496
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015-00299 Issued in NC
Practice address
4000 Wake Forest Rd
Raleigh, NC 27609-6879
Phone
(919) 865-8710
NPI assigned
Jun 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2015-00299 NC Primary

Addresses

Primary practice location

4000 Wake Forest Rd
Raleigh, NC 27609-6879

Mailing address

4000 Wake Forest Rd
Raleigh, NC 27609-6879
Phone (919) 865-8710

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160216002705 NC Practitioner - Psychiatry 3476858226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Fayetteville St
Durham, NC 27707-2325
Phone (919) 956-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2015-00299NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Health Center Incorporated CurrentSince Dec 12, 2016 Accepting new patients
Lincoln Community Health Center Incorporated CurrentSince Dec 12, 2016 Accepting new patients

Locations

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

414 E Main St
Durham, NC 27701
Phone (919) 560-7600

412 Liberty St
Durham, NC 27701
Phone (919) 683-1722

3727 Fayetteville St
Durham, NC 27707
Phone (919) 956-4519

1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000

Interoperability endpoints

  • Direct secure messaging: zgooding285218@direct.medicine.duke.edu

Organizations & group practices 2

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1285920496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096879",
            "telephone_number": "919-865-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096879",
            "telephone_number": "919-865-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "ZANE",
        "middle_name": "STEPHEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-00299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.