Active NPI
Christopher Spencer Good, PA
- Physician Assistant
- Tavernier, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115219
- Practice address
- Mariners Hospital
91500 Overseas Highway
Tavernier, FL 33070 - Phone
- (305) 434-3000
- NPI assigned
- Mar 28, 2013
- Last updated
- Mar 8, 2023
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386987204 | Other | PA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NM, CA, NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56858 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Carteret County General Hospital Corporation | Current | 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
- christopher.good.1@15484.direct.athenahealth.com
- 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.
-
- Gastroenterology Physician
- Morehead City, NC
- NPI 1700164464
-
- Orthopaedic Surgery Physician
- Morehead City, NC
- NPI 1104156108
-
dba Carteret General Hospital
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Emergency Medicine Physician
- Tavernier, FL
- NPI 1952903536
-
- Emergency Medicine Physician
- Morehead City, NC
- NPI 1538108535
-
- Emergency Medicine Physician
- New Bern, NC
- NPI 1164462586
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1497059802
-
dba Temecula Valley Emergency Physicians
- Emergency Medicine Physician
- Temecula, CA
- NPI 1407281223
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carteret General Hospital
- General Acute Care Hospital
- Morehead City, NC
- NPI 1760479331
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.