Goodwill Healthcare & Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GOODWILL HEALTHCARE & REHAB LLC

Practice address

4373 Houston Ave
Macon, GA 31206-2759

Phone

(478) 784-1500

Fax

(478) 784-7638

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Debbie Jones

Title

Coo

Phone

(423) 648-6750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goodwill Health & Rehab Doing business as

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1659619450",
    "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": "312062759",
            "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": "312062759",
            "telephone_number": "478-784-1500",
            "fax_number": "478-784-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL HEALTHCARE & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-648-6750"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000141193A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwill Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susannah Burns Goodman, NP
• Teresa Goodridge
• Goodsleep of Ga LLC
• Stacie Goodson-Jones, LCSW
• Rachel Goodson, DO
• Goodwill Nursing Home, Inc
• Burton D Goodwin Jr., MD
• Alan N Gordon, M.D.
• Destiny Renee Gordon, FNP-C
• Steven Emmett Gordon, DDS

• 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 Jun 20, 2013; 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.