Individual provider Active NPI

Caroline Goslin, PA

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1306181763
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006695 Issued in GA
Practice address
2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Phone
(404) 355-0743
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006695 GA Primary

Addresses

Primary practice location

2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476

Mailing address

3615 Ashford Creek Dr NE
Brookhaven, GA 30319-5053
Phone (303) 570-3804

Other practice location 1

6300 Hospital Pkwy
Suite 400
Johns Creek, GA 30097-1828
Phone (678) 205-4261

Other practice location 2

141 Webb Dr
Davenport, FL 33837-3951
Phone (863) 422-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoatlanta, LLC Past Accepting new patients
Hughston Orthopaedic Southeast PC Past Accepting new patients
Peachtree Orthopaedic Clinic PA Past Accepting new patients

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1306181763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 ASHFORD CREEK DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195053",
            "telephone_number": "303-570-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 705",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-355-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Hospital Pkwy",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300971828",
            "country_code": "US",
            "telephone_number": "678-205-4261",
            "fax_number": "678-417-7187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Webb Dr",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338373951",
            "country_code": "US",
            "telephone_number": "863-422-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSLIN",
        "first_name": "CAROLINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.