Individual provider Active NPI

Laura Goins, PA

  • Surgical Physician Assistant
  • Dalton, GA
National Provider Identifier
1508261793
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
7824 Issued in GA
Practice address
1504 Broadrick Dr
Dalton, GA 30720
Phone
(706) 278-6403
Fax
(706) 278-0087
NPI assigned
Oct 30, 2014
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 7824 GA Primary

Addresses

Primary practice location

1504 Broadrick Dr
Dalton, GA 30720

Mailing address

1504 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-6403

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215000011 GA Practitioner - Physician Assistant 7214259878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physician Group, IncGroup PAC ID 4789708553, 120 clinicians

Practice addresses (Care Compare)

1432 Broadrick Dr
Dalton, GA 30720-3009
Phone (706) 226-8990

1436 Broadrick Dr
Suite B
Dalton, GA 30720-3009
Phone (706) 226-3434

1504 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-6403

215 Curtis Pkwy NE
Calhoun, GA 30701-1404
Phone (706) 529-3025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7824GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.goins.1@8594.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1508261793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-6403",
            "fax_number": "706-278-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "30720",
            "telephone_number": "706-278-6403",
            "fax_number": "706-278-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS",
        "first_name": "LAURA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "7824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.