Gwyndolyn B. Goodwin, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIRO07391 Issued in GA

Practice address

775 S Park St
Suite 102
Carrollton, GA 30117-3825

Phone

(678) 485-3155

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrative Body Health PCGroup PAC ID 2062652050, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Integrative Body Health, PC

  • Rehabilitation Chiropractor
  • Carrollton, GA
  • NPI 1083057434
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1376687210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S PARK ST",
            "address_2": "SUITE 102",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173825",
            "telephone_number": "678-485-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S PARK ST",
            "address_2": "SUITE 102",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173825",
            "telephone_number": "678-485-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "GWYNDOLYN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "384",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "GA",
            "license": "CHIRO07391",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "CHIRO07391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Godard, M.D.
• Mary L Godard
• Sheena Rene Gonzalez, CPNP-PC
• Goodbodys Minor Med Express Care
• Jonathan M Goodin, MD
• Gordon T. Austin, D.M.D., P.C.
• Jefferson Taylor Gordon, M.D.
• Jenny Lyle Gordon
• Olivia Katelyn Gordon, MS, RD, LD
• Pam J Gordon, BS

• Rehabilitation Chiropractor in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.