Leonidas Athanasios Goudas, MD

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

2003-00795 Issued in NC

Practice address

300 Enola Rd
Morganton, NC 28655-4608

Phone

(828) 608-6360

Fax

(828) 433-2735

NPI assigned

Sep 14, 2006

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caldwell Hospice and Palliative Care, Inc.

  dba Amorem

  • Community Based Hospice Care Agency
  • Lenoir, NC
  • NPI 1386931566
  NPD (past)
• Caldwell Memorial Hospital Inc.

  dba UNC Health Caldwell Radiology Associates

  • Diagnostic Radiology Physician
  • Lenoir, NC
  • NPI 1255221180
  NPD (past)
• Horizon Surgical Specialists PA

  • Vascular Surgery Physician
  • Lenoir, NC
  • NPI 1225142011
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1306941133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-608-6360",
            "fax_number": "828-433-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ENOLA RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554608",
            "telephone_number": "828-608-6360",
            "fax_number": "828-433-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDAS",
        "first_name": "LEONIDAS",
        "middle_name": "ATHANASIOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200300795",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2003-00795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "134XN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134XN",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leon.goudas@dhhs.nc.gov",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "300 Enola Rd",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286554608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Good Samaritan Clinic
• Lucy Ann Goodwin, ACSW, LCSW
• Rachel Lowman Goossens, FNP-C
• Carolyn V Gordon, MD
• Margaret Gordon
• Glenn Michael Gould, DO
• Grace Heights Rehabilitation and Skilled Nursing Center, LLC (Grace Heights Health and Rehabilitation)
• Grace Hospital Inc (Mountain Orthopaedics)
• Grace Hospital, Inc (Evans Obstetrics & Gynecology)
• Grace Hospital, Inc. (Family Medical Associates)

• Hospice and Palliative Medicine (Internal Medicine) Physician in Morganton, NC
• Providers in Morganton, NC by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.