Active NPI
Peter D Goodnight, M.D.
- Anesthesiology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- LL28930
- Practice address
- 125 Doughty St Ste 420
Charleston, SC 29403-5741 - Phone
- (843) 723-3441
- Fax
- (843) 805-4040
- NPI assigned
- Oct 19, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | LL28930 | SC | Primary |
Addresses
Primary practice location
125 Doughty St Ste 420
Charleston, SC 29403-5741
Mailing address
125 Doughty St Ste 420
Charleston, SC 29403-5741
Phone (843) 723-3441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical University of South Carolina College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1064 Gardner Rd
Suite 112
Charleston, SC 29407-5768
Phone 8437233441551
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Hospital & facility affiliations
- Roper Hospital
- Mount Pleasant Hospital
- Colleton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL28930 | SC | MD | Anesthesiology Physician |
| 28930 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Anesthesia Associates of Charleston, P.a. | Anesthesiology | Current | Accepting new patients |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Anesthesia Associates of Charleston, P.a. | Past | Accepting new patients |
Locations
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
125 Doughty St
Ste 420
Charleston, SC 29403
Phone (843) 723-3441
1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1396776670
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Maternal & Fetal Medicine Physician
- Charleston, SC
- NPI 1336546480
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Non-Pharmacy Dispensing Site
- Mt Pleasant, SC
- NPI 1629693668
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Mt Pleasant, SC
- NPI 1255645644
-
- General Acute Care Hospital
- Walterboro, SC
- NPI 1376597997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275609600000",
"number": "1497837892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DOUGHTY ST STE 420",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035741",
"telephone_number": "843-723-3441",
"fax_number": "843-805-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DOUGHTY ST STE 420",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035741",
"telephone_number": "843-723-3441",
"fax_number": "843-805-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODNIGHT",
"first_name": "PETER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2010-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "LL28930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.