Active NPI
Vanessa Juanita Goodman, FNP
- Family Nurse Practitioner
- Braselton, GA
National Provider Identifier
1386458446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN270761
- Practice address
- 1400 River PL
Braselton, GA 30517-5600 - Phone
- (770) 848-8000
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN270761 | GA | Primary |
Addresses
Primary practice location
1400 River PL
Braselton, GA 30517-5600
Mailing address
1400 River PL
Braselton, GA 30517-5600
Phone (770) 848-8000
Other practice location 1
20 Satellite Dr
Winder, GA 30680-6213
Phone (770) 586-0300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vgoodman120709@nghs.gadirect.net | Direct |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2151 W Spring St
Suite B110
Monroe, GA 30655-3209
Phone (770) 586-0300
Hospital & facility affiliations
- Piedmont Walton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270761 | GA | MD | Family Nurse Practitioner |
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Dacula, GA
- NPI 1922844570
-
- Pulmonary Disease Physician
- Winder, GA
- NPI 1194048561
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1386458446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 RIVER PL",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175600",
"telephone_number": "770-848-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 RIVER PL",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175600",
"telephone_number": "770-848-8000"
}
],
"practiceLocations": [
{
"address_1": "20 Satellite Dr",
"address_purpose": "LOCATION",
"city": "Winder",
"state": "GA",
"postal_code": "306806213",
"country_code": "US",
"telephone_number": "770-586-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "VANESSA",
"middle_name": "JUANITA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-06",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN270761",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vgoodman120709@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1400 River Pl",
"city": "Braselton",
"state": "GA",
"country_code": "US",
"postal_code": "305175600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.