Susan Goldby, C.R.N.P

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1030479 Issued in AL

Practice address

1304 13TH Ave SE
Decatur, AL 35601-4359

Phone

(256) 355-9711

Fax

(256) 351-9717

NPI assigned

Mar 22, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Together Women'S Health Medical Group of Alabama PC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1689637431
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1295794824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-355-9711",
            "fax_number": "256-351-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-355-9711",
            "fax_number": "256-351-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBY",
        "first_name": "SUSAN",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "1030479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018984",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald Dwain Gladish, MD
• Melissa Ann Glaze, LPC
• George H Godwin III, M.D., F.A.C.S.
• Sharon R Goe, LPC
• John Kevin Goertemiller, DDS
• Mary Sloan Golden, PHARM D
• Callie C Gooch
• Good Hope Dental Center PC
• Taylor Liane Goodpastor, CRNP
• Beronica Goodwin

• Obstetrics & Gynecology Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.