Individual provider Active NPI

Charles D. Goff, M.D.

  • Vascular Surgery Physician
  • Fishersville, VA
National Provider Identifier
1508870205
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
0101056658 Issued in VA
Practice address
70 Medical Center Cir
Suite 213
Fishersville, VA 22939
Phone
(540) 245-7705
Fax
(540) 245-7710
NPI assigned
Jul 28, 2006
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 0101056658 VA Primary

Addresses

Primary practice location

70 Medical Center Cir
Suite 213
Fishersville, VA 22939

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 245-7705

Other identifiers 2

IdentifierTypeStateIssuer
214157OtherVAANTHEM
007309783MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address charles.goff.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100109000036 VA Practitioner - Vascular SurgeryPractitioner - General Surgery 4486748035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Wake Forest University School of Medicine, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians
Augusta Health Care IncGroup PAC ID 1355248212, 63 clinicians

Practice addresses (Care Compare)

70 Medical Ctr Cir
Suite 213
Fishersville, VA 22939-2273
Phone (540) 245-7705

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Leg revascularization (restoring blood flow)19
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101056658VAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Health Care, Inc CurrentSince Aug 1, 1999 Accepting new patients
Augusta Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Augusta Health Care, Inc. CurrentSince Aug 1, 1999 Accepting new patients
Augusta Medical Group CurrentSince Jun 1, 2018 Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

70 Medical Center Cir
Ste 213
Fishersville, VA 22939
Phone (540) 245-7705

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

Interoperability endpoints

  • Direct secure messaging: charles.goff.1@14718.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1508870205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-245-7705",
            "fax_number": "540-245-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 213",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-245-7705",
            "fax_number": "540-245-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101056658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "214157",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007309783",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.goff.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "70 Medical Center Cir",
            "address_2": "Suite 213",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.