Cynthia Jo Goodman, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

048419 Issued in GA

Practice address

2948 Battle Forrest Dr
Decatur, GA 30034-2760

Phone

(678) 558-6767

NPI assigned

Mar 25, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Waterworksnow, Incorporated

  • Health Service Clinic/Center
  • Stone Mountain, GA
  • NPI 1972036978
  NPD (past) Authorized official

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1477795268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 370354",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300372452",
            "telephone_number": "678-558-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 BATTLE FORREST DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342760",
            "telephone_number": "678-558-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E. Park Place",
            "address_2": "Suite 1800",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "30038",
            "country_code": "US",
            "telephone_number": "678-558-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CYNTHIA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "048419",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "48419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Gonzalez
• Claudia Gonzalez
• Renzo P Gonzalez, PHARM D.
• Good Life Health LLC
• Justin Goode
• Wenda Goodman, MOT,OTR/L
• Benjamin David Goodrich, PHARM.D.
• Amanda Goodson, PHARMD
• Persephone Cierra Goodwin
• Kavitha Gopal, M.D.

• Gynecology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.