Active NPI
Joel A Goldstein, MD
- Pediatrics Physician
- Morrow, GA
National Provider Identifier
1447280276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 014177
- Practice address
- 1000 Corporate Center Dr
Ste 220
Morrow, GA 30260 - Phone
- (770) 960-9999
- Fax
- (770) 960-0931
- NPI assigned
- Jul 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 014177 | GA | Primary |
Addresses
Primary practice location
1000 Corporate Center Dr
Ste 220
Morrow, GA 30260
Mailing address
1000 Corporate Center Dr
Ste 220
Morrow, GA 30260
Phone (770) 960-9999
Other names 1
- Joel Arnold Goldstein
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014177 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Childrens Clinic | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0003374
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 and National Provider Directory roles.
-
- Specialist
- Morrow, GA
- NPI 1043485584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447280276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "STE 220",
"city": "MORROW",
"state": "GA",
"postal_code": "30260",
"telephone_number": "770-960-9999",
"fax_number": "770-960-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "STE 220",
"city": "MORROW",
"state": "GA",
"postal_code": "30260",
"telephone_number": "770-960-9999",
"fax_number": "770-960-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JOEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "014177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOEL",
"last_name": "GOLDSTEIN",
"middle_name": "ARNOLD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.