Active NPI
Meredith Ann Goodwin, M.D.
- Family Medicine Physician
- Mather, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G064592
- Practice address
- 10535 Hospital Way BLDG 650
Mather, CA 95655-4200 - Phone
- (916) 843-7000
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G064592 | CA | Primary |
Addresses
Primary practice location
10535 Hospital Way BLDG 650
Mather, CA 95655-4200
Mailing address
1115 W Call St
Dept. Family Medicine/Rural Health, Fsu Coll of Medicin
Tallahassee, FL 32304-3556
Phone (850) 644-9454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G064592 | Other | CA | STATE MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI, CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2345 Ashland Ave
Suite 1082
Cincinnati, OH 45206-2204
Phone (201) 283-8515
401 Warren St
Suite 300
Redwood City, CA 94063-1536
Phone (708) 320-1477
455 E Eisenhower Pkwy
Suite 300
Ann Arbor, MI 48108-3324
Phone (240) 693-3281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G064592 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solace Health Medical Group KS PA | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Redwood City, CA
- NPI 1801669924
MI, OH
-
- Family Medicine Physician
- Topeka, KS
- NPI 1255246385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1457385924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 W CALL ST",
"address_2": "DEPT. FAMILY MEDICINE/RURAL HEALTH, FSU COLL OF MEDICIN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323043556",
"telephone_number": "850-644-9454",
"fax_number": "850-645-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY BLDG 650",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "MEREDITH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G064592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "G064592",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "CMS HIH",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "7500 Security Blvd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212441849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.