Individual provider Active NPI

Richard Bernard Goodjoin, MD

  • Internal Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1306824305
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57078 Issued in GA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000022 GA Practitioner - Internal Medicine 0941109722 Reassigns benefits to 1 organization

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
Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

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

LicenseStateTypeSpecialty
57078GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Clinic, LTD Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Gwinnett Clinic, LTD Internal Medicine CurrentSince Apr 1, 2019 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

  • Direct secure messaging: richard.goodjoin.1@32352.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.