Individual provider Active NPI

Christopher Spencer Good, PA

  • Physician Assistant
  • Tavernier, FL
National Provider Identifier
1386987204
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115219 Issued in FL
Practice address
Mariners Hospital
91500 Overseas Highway
Tavernier, FL 33070
Phone
(305) 434-3000
NPI assigned
Mar 28, 2013
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA2019-0047 NM
Physician Assistant 363A00000X PA1931 ME
Physician Assistant 363A00000X MA002749L PA
Physician Assistant 363A00000X 56858 CA
Physician Assistant 363A00000X 0010-11617 NC
Physician Assistant 363A00000X PA9115219 FL Primary

Addresses

Primary practice location

Mariners Hospital
91500 Overseas Highway
Tavernier, FL 33070

Mailing address

171 German Hill Rd
Tunkhannock, PA 18657-5747
Phone (570) 406-0503

Other practice location 1

10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-5081

Other practice location 2

Fishermans Community Hospital
3301 Overseas Highway
Marathon, FL 33050
Phone (305) 434-1000

Other identifiers 1

IdentifierTypeStateIssuer
1386987204OtherPANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NM, CA, NC, FL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20130710000566 PA Practitioner - Physician Assistant 1557549649 Reassigns benefits to 1 organization
I20190824000403 NM Practitioner - Physician Assistant 1557549649 Reassigns benefits to 1 organization
I20201027001772 CA Practitioner - Physician Assistant 1557549649 Reassigns benefits to 1 organization
I20230216001962 NC Practitioner - Physician Assistant 1557549649 Reassigns benefits to 5 organizations
I20230406000265 FL Practitioner - Physician Assistant 1557549649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Group LLCGroup PAC ID 5698947794, 65 clinicians
Moore Orthopedics and Sports Medicine PAGroup PAC ID 1153450390, 10 clinicians

Practice addresses (Care Compare)

1165 Cedar Point Blvd
Cedar Point, NC 28584-1030

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 247-2013

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 808-3100

4218 Arendell St M
Morehead City, NC 28557-2866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56858CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Aug 26, 2019 Accepting new patients
Presbyterian Healthcare Services CurrentSince Aug 26, 2019 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Aug 21, 2025 Accepting new patients

Locations

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

Interoperability endpoints

  • Direct secure messaging: christopher.good.1@15484.direct.athenahealth.com
  • Direct secure messaging: christopher.good.1@2367.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1386987204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 GERMAN HILL RD",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186575747",
            "telephone_number": "570-406-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARINERS HOSPITAL",
            "address_2": "91500 OVERSEAS HIGHWAY",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "33070",
            "telephone_number": "305-434-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Wayman Ln",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091625",
            "country_code": "US",
            "telephone_number": "207-288-5081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Fishermans Community Hospital",
            "address_2": "3301 Overseas Highway",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "FL",
            "postal_code": "33050",
            "country_code": "US",
            "telephone_number": "305-434-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "CHRISTOPHER",
        "middle_name": "SPENCER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2019-0047",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1931",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002749L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56858",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11617",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386987204",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.