David J Goode MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

15075 Issued in NC

Legal business name

DAVID J GOODE MD PA

Practice address

964 Avon Rd
Winston Salem, NC 27104-1014

Phone

(336) 761-0326

Fax

(336) 760-0524

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

David John Goode, MD

Title

President

Phone

(336) 761-0326

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649294083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 AVON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041014",
            "telephone_number": "336-761-0326",
            "fax_number": "336-760-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 AVON RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041014",
            "telephone_number": "336-761-0326",
            "fax_number": "336-760-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J GOODE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-761-0326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "36186",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86 36186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Connor Daubach
• Harlan Beaver Daubert, M.D.
• Deborah Reuther Daugherty
• Gianna Seeland Daugherty, MD
• Nicole Davenport
• David J. Barabe, D.D.S., P.a.
• Jarrod David, DPT
• Lisa Renee David, MD
• Deborah W Davidson, FNP
• Elizabeth Davidson, FNP

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.