Grady G. Goodwin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4160 Issued in TX

Practice address

3500 Gaston Ave
4 Roberts
Dallas, TX 75246-2017

Phone

(214) 820-3000

Fax

(214) 820-3022

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians

Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CC Young Home Health and Hospice Home health agency, Dallas, TX, CCN 747252
• CC Young Home Health and Hospice Hospice, Dallas, TX, CCN 451790
• Three Oaks Hospice Hospice, Richardson, TX, CCN 671762
• Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
• C C Young Memorial Home Nursing home, Dallas, TX, CCN 675592
• Glen Rose Nursing and Rehab Center Nursing home, Glen Rose, TX, CCN 675572
• Park Bend Rehabilitation and Healthcare Center Nursing home, Burleson, TX, CCN 455763

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

Locations

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.

• Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
  • NPI 1215533807
  Medicare reassignment Care Compare group NPD Authorized official
• Meridian Health Post Acute PLLC

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1609731819
  Medicare reassignment Care Compare group NPD Authorized official
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Burleson, TX
  • NPI 1821430166
  Medicare reassignment NPD
• Questcare Medical Clinics PLLC

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1336572759
  NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Healthtexas-Med Provider

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992700512
  NPD (past)
• Somervell County Hospital District

  • Skilled Nursing Facility
  • Glen Rose, TX
  • NPI 1407190903
  NPD (past)

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

• C C Young Memorial Home

  • Skilled Nursing Facility
  • Dallas, TX
  • NPI 1043205479

  Nursing home

  Care Compare affiliation
• C.C. Young Memorial Home

  • Home Health Agency
  • Dallas, TX
  • NPI 1326231499
  Care Compare affiliation
• C.C. Young Memorial Home

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1700083524
  Care Compare affiliation
• Somervell County Hospital District

  • Skilled Nursing Facility
  • Glen Rose, TX
  • NPI 1407190903

  Nursing home

  Care Compare affiliation
• Somervell County Hospital District

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  Care Compare affiliation
• Three Oaks Hospice Dallas Inc

  • Community Based Hospice Care Agency
  • Richardson, TX
  • NPI 1720648660
  Care Compare affiliation
• West Wharton County Hospital District

  • Skilled Nursing Facility
  • Burleson, TX
  • NPI 1164138723

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1407964158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "4 ROBERTS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-3000",
            "fax_number": "214-820-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "address_2": "4 ROBERTS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-3000",
            "fax_number": "214-820-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "GRADY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4160",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M4106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G0895",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184835001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184835002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CZ855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goodwin Hospice, LLC
• Adolphina Goodwin
• Ashleigh Dodds Goodwin, PA
• Gabriel Contravious Goodwin
• Gerald S. Goodwin, PHARM.D.
• Jerica L Goodwin, PHARMD
• Jessica Theresa Goodwin, M.D.
• Judy R. Ridpath Goodwin, APRN, CPNP, NNP-BC
• Karen V Goodwin, D.C.
• Madison Goodwin

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.

Verify at the official NPI Registry.