Kevin D Goodlow, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

057977 Issued in GA

Practice address

5885 Glenridge Dr NE
Suite 200
Atlanta, GA 30328-5512

Phone

(404) 252-7526

Fax

(404) 851-1709

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.74 of 100Reported as group

Quality

63.81

Promoting interoperability

100

Improvement activities

40

Cost

57.71

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgoodlow148476@cityofhope.direct-ci.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vitas Healthcare Corporation of Georgia

  • Community Based Hospice Care Agency
  • Atlanta, GA
  • NPI 1932242260

  W-2 Managing Employee

  CMS ownership

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.

• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333
  Medicare reassignment NPD
• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823
  Medicare reassignment NPD
• Hni Medical Services of Georgia, LLC

  • Psychiatry Physician
  • Norcross, GA
  • NPI 1952926370

  Internal Medicine

  Medicare reassignment NPD
• Piedmont Healthcare Inc

  • Cardiovascular Disease Physician
  • Stockbridge, GA
  • NPI 1376624940
  Medicare reassignment NPD
• Pruitthealth Physicians Services, LLC

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1043676299
  Medicare reassignment NPD
• Vitas Healthcare Corporation of Georgia

  • Community Based Hospice Care Agency
  • Atlanta, GA
  • NPI 1932242260
  NPD
• Pruitthealth - Austell, LLC

  • Skilled Nursing Facility
  • Austell, GA
  • NPI 1386690642
  NPD (past)
• Pruitthealth - Brookhaven, LLC

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1336196468
  NPD (past)
• Pruitthealth - West Atlanta, LLC

  • Skilled Nursing Facility
  • Atlanta, GA
  • NPI 1881641306
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1659476232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285512",
            "telephone_number": "404-252-7526",
            "fax_number": "404-851-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285512",
            "telephone_number": "404-252-7526",
            "fax_number": "404-851-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLOW",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "057977",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "057977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761536854A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Goodfriend, PTA
• Brooks Ransom Goodgame, PA-C
• Kevin Fitzgerald Goodgame, MPT
• Karen L Goodlett, MD
• Megan Leigh Goodlin, LCSW
• Alan T. Goodman, DDS, MS
• Alyson Becca Goodman, MD, MPH
• Daniel S Goodman, M.D.
• Erin Goodman
• Gerri Beth Goodman, PH D

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.