Individual provider Active NPI

L Smith Goodrum Jr., PHD

  • Psychologist
  • Asheville, NC
National Provider Identifier
1386652139
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1644 Issued in NC
Practice address
932 Hendersonville Rd
Suite 101
Asheville, NC 28803
Phone
(828) 274-1415
Fax
(828) 274-9943
NPI assigned
Aug 4, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1644 NC Primary

Addresses

Primary practice location

932 Hendersonville Rd
Suite 101
Asheville, NC 28803

Mailing address

932 Hendersonville Rd
Suite 101
Asheville, NC 28803
Phone (828) 274-1415

Other identifiers 2

IdentifierTypeStateIssuer
6886164OtherVALUE OPTIONS
0366JOtherNCBCBS

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 Philosophy

State licenses

LicenseStateTypeSpecialty
1644NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Narron, M.D. & Associates, PLLC Psychologist PastSince Oct 2, 2000 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1386652139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 HENDERSONVILLE RD",
            "address_2": "SUITE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-274-1415",
            "fax_number": "828-274-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 HENDERSONVILLE RD",
            "address_2": "SUITE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-274-1415",
            "fax_number": "828-274-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRUM",
        "first_name": "L",
        "middle_name": "SMITH",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "6886164",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0366J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.