Active NPI
George Goodwin Childs Jr., MD
- Pulmonary Disease Physician
- Fayetteville, NC
National Provider Identifier
1366624173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101039942
- Practice address
- 2300 Ramsey St
Fayetteville, NC 28301-3856 - Phone
- (910) 488-2120
- Fax
- (910) 482-5064
- NPI assigned
- Dec 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101039942 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101039942 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 0101039942 | VA | Primary |
Addresses
Primary practice location
2300 Ramsey St
Fayetteville, NC 28301-3856
Mailing address
2300 Ramsey St
Fayetteville, NC 28301-3856
Phone (910) 488-2120
Other practice location 1
215 Perry Hill Road
Montgomery, AL 36109-3798
Phone (334) 558-8242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039942 | VA | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1366624173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013856",
"telephone_number": "910-488-2120",
"fax_number": "910-482-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013856",
"telephone_number": "910-488-2120",
"fax_number": "910-482-5064"
}
],
"practiceLocations": [
{
"address_1": "215 Perry Hill Road",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361093798",
"country_code": "US",
"telephone_number": "334-558-8242",
"fax_number": "334-273-6291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILDS",
"first_name": "GEORGE",
"middle_name": "GOODWIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101039942",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101039942",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101039942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Children'S Urgent Care of Fayetteville
- Childrens Acute Care of Fayetteville, P.a.
- Childrens Acute Care PA
- Kemp Jan Childress II, PHARMD
- Alesha Angela Childs, LPN
- Jessica Childs, PHARM.D.
- Chukwuemeka Ogbonnaya Chima, MD
- Pavani Chintalapani, M.D.
- Chiropractic Advantage PA (A Healthy Back)
- Chiropractic Health and Wellness Center, P. a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.