Active NPI
Sonya Michelle Goodner, PA-C, MPH
- Physician Assistant
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9102531
- Practice address
- 11349 Cortez Blvd
Brooksville, FL 34613-5404 - Phone
- (239) 690-6906
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9102531 | FL | Primary |
Addresses
Primary practice location
11349 Cortez Blvd
Brooksville, FL 34613-5404
Mailing address
3267 Rackley Rd
Brooksville, FL 34604-7018
Phone (561) 523-2189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4310 Metro Pkwy
Suite 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 74.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9102531 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita Springs Retirement Village, Inc. | Current | Accepting new patients | |
| Lehigh Acres BG Opco LLC | Current | Accepting new patients | |
| Moshe E Hirth MD PA | Past | Accepting new patients | |
| Elite Healthcare Systems, Inc | Past | Accepting new patients | |
| Dna Comprehensive Therapy Services, LLC | Past | Accepting new patients |
Locations
4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916
3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555
11349 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0022
5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870
Interoperability endpoints
- https://915c31a9-c72e-45b9-87e6-b62da9b7e18b.gastro.prod.fhir.ema-api.com/fhir/r4/
- sonya.goodnerpamph.p1@direct.thespinecenter.nextgenshare.com
- sonya.goodner.1@13142.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
-
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
-
- Assisted Living Facility
- Lehigh Acres, FL
- NPI 1760939813
-
- Urgent Care Clinic/Center
- Delray Beach, FL
- NPI 1538199237
-
- Gastroenterology Physician
- Delray Beach, FL
- NPI 1710150495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1487770939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 RACKLEY RD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346047018",
"telephone_number": "561-523-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11349 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135404",
"telephone_number": "239-690-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODNER",
"first_name": "SONYA",
"middle_name": "MICHELLE",
"credential": "PA-C, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9102531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.