Active NPI
Richard Bernard Goodjoin, MD
- Internal Medicine Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57078
- Practice address
- 105 Carnegie PL
Suite 103
Fayetteville, GA 30214-3980 - Phone
- (770) 716-7999
- Fax
- (770) 716-8444
- NPI assigned
- Jan 9, 2006
- Last updated
- Jan 12, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57078 | GA | Primary |
Addresses
Primary practice location
105 Carnegie PL
Suite 103
Fayetteville, GA 30214-3980
Mailing address
10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Other practice location 1
1289 Scenic Hwy
Lawrenceville, GA 30045-6358
Phone (770) 972-9000
Other practice location 2
3490 Pleasant Hill Rd
Duluth, GA 30096-3188
Phone (770) 814-2870
Other practice location 3
475 Philip Blvd Ste 300
Lawrenceville, GA 30046-8736
Phone (770) 995-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, San Francisco School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Philip Blvd
Suite 300
Lawrenceville, GA 30046-8736
Phone (777) 099-5330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57078 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Clinic, LTD | Internal Medicine | Current | Accepting new patients |
| Gwinnett Clinic, LTD | Internal Medicine | Current | Accepting new patients |
| Gwinnett Clinic LTD | Current | Accepting new patients | |
| Wakemed Faculty Practice Plan | Past | Accepting new patients | |
| Gwinnett Clinic, LTD | Internal Medicine | Past | Accepting new patients |
| Wakemed Faculty Practice Plan | Internal Medicine | Past | Accepting new patients |
Locations
5196 Highway 53
Braselton, GA 30517
Phone (706) 824-9929
3490 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 814-2870
10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818
1289 Scenic Hwy
Lawrenceville, GA 30045
Phone (770) 972-9000
475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202
475 Philip Blvd
Ste 300
Lawrenceville, GA 30046
Interoperability endpoints
- richard.goodjoin.1@32352.direct.athenahealth.com
- richard.goodjoin@gclinic.emedpractice.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gwinnett Clinic
- Multi-Specialty Clinic/Center
- Suwanee, GA
- NPI 1528212149
Internal Medicine
-
dba WakeMed Faculty Physicians - Pediatric Hospitalists/Intensivists
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
- NPI 1013203819
-
dba WakeMed Faculty Physicians
- Surgery Physician
- Raleigh, NC
- NPI 1396791786
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucker, GA
- NPI 1477501179
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1306824305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 MEDLOCK BRIDGE RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300978404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CARNEGIE PL",
"address_2": "SUITE 103",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143980",
"telephone_number": "770-716-7999",
"fax_number": "770-716-8444"
}
],
"practiceLocations": [
{
"address_1": "1289 Scenic Hwy",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300456358",
"country_code": "US",
"telephone_number": "770-972-9000",
"fax_number": "770-736-0556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3490 Pleasant Hill Rd",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "GA",
"postal_code": "300963188",
"country_code": "US",
"telephone_number": "770-814-2870",
"fax_number": "770-814-2872",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Philip Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300468736",
"country_code": "US",
"telephone_number": "770-995-3300",
"fax_number": "770-995-3307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODJOIN",
"first_name": "RICHARD",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2023-01-12",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "57078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Kimberly Gomez, RBT
- Good Samartians Community Development Group, Inc.
- Goodheart Chiropractic Clinic, Inc.
- Roger M Goodheart, DC
- Karen Gooding, ANP-C
- David A. Goodman, M.D.
- Jennifer Goodson, NP
- Tere P Goodwin, LPC, NCC
- Gopaul Family LLC (Southern Sleep Studies Center)
- Kurt Carlton Gopaul, RPSGT,CCSH,RST, RCP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.
- 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.