Lori M Goodwin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101239715 Issued in VA

Practice address

11760 Rock Landing Dr
Newport News, VA 23606-4204

Phone

(757) 668-6300

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Childrens Medical Group Inc

  dba Newport News Pediatrics

  • Pediatrics Physician
  • Newport News, VA
  • NPI 1033264767
  NPD (past)
• Childrens Medical Group Inc

  dba General Booth Pediatrics

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1447205380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11783 ROCK LANDING DR",
            "address_2": "SUITE 202",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064431",
            "telephone_number": "757-668-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 ROCK LANDING DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064204",
            "telephone_number": "757-668-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "LORI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101239715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010260141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew M Goodman, OD
• Charleton Yves-Marie B Goodman
• Debra Ann Goodman, CD(DONA)
• Clifford T Goodwin, D.D.S.
• Kimberly Goodwin
• Rachel Goodwyn, LPC
• Rwanda Goolsby
• Gordon Wellness LLC
• Aliya Simcha Gordon
• Shennel Gordon

• Pediatrics Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.