Goodwill Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-066-1843 Issued in GA

Legal business name

GOODWILL NURSING HOME, INC

Doing business as

Goodwill Nursing and Rehab Center

Practice address

4373 Houston Ave
Macon, GA 31206-2760

Phone

(478) 784-1500

Fax

(478) 784-7638

NPI assigned

Nov 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joy Shepherd

Title

Administrator

Phone

(478) 784-1500

Specialties & licenses 1

Addresses

Other names 1

• Goodwill Nursing and Rehab Center Doing business as

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649340167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 HOUSTON AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312062760",
            "telephone_number": "478-784-1500",
            "fax_number": "478-784-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 HOUSTON AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312062760",
            "telephone_number": "478-784-1500",
            "fax_number": "478-784-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-784-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-066-1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Goodridge
• Goodsleep of Ga LLC
• Stacie Goodson-Jones, LCSW
• Rachel Goodson, DO
• Goodwill Healthcare & Rehab LLC (Goodwill Health & Rehab)
• Burton D Goodwin Jr., MD
• Alan N Gordon, M.D.
• Destiny Renee Gordon, FNP-C
• Steven Emmett Gordon, DDS
• Ashwini Prabhakar Gore, M.D.

• Skilled Nursing Facility in Macon, GA
• Providers in Macon, GA by specialty
• Skilled Nursing Facility in Georgia

• 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.