Active NPI
Pamala Lyn Good, D.M.D.
- General Practice Dentistry
- Tallahassee, FL
National Provider Identifier
1306113444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 19586
- Practice address
- 2808 Remington Green Cir Ste 100
Tallahassee, FL 32308-3724 - Phone
- (850) 383-1052
- NPI assigned
- Nov 17, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 19586 | FL | Primary |
Addresses
Primary practice location
2808 Remington Green Cir Ste 100
Tallahassee, FL 32308-3724
Mailing address
3640 Mossy Creek LN
Tallahassee, FL 32311-3638
Phone (850) 228-7333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151104001624 | FL | Order and Referring Only - Oral Surgery | 7214247170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19586 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JNR Dental | General Practice | Past | Accepting new patients |
| NBW, D.D.S., Inc. | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Tallahassee, FL
- NPI 1144795188
-
- General Practice Dentistry
- Tallahassee, FL
- NPI 1043328024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1306113444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 MOSSY CREEK LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323113638",
"telephone_number": "850-228-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 REMINGTON GREEN CIR STE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323083724",
"telephone_number": "850-383-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "PAMALA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-17",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 19586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.