Active NPI
Kelsie Goodwin, DO
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0102209359
- Practice address
- 1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437 - Phone
- (269) 362-3246
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5151015033 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 0102209359 | VA | Primary |
Addresses
Primary practice location
1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437
Mailing address
1181 First Colonial Rd Ste 200
Virginia Beach, VA 23454-2437
Phone (269) 362-3246
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5801 Postal Rd
Cleveland, OH 44181-9600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102209359 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Womens Care PLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mid-Atlantic Womens Care PLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890
1181 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 425-1600
1925 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 425-1600
Interoperability endpoints
- kelsie.goodwin.1@22824.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1699365072
-
- Obstetrics & Gynecology Physician
- Virginia Beach, VA
- NPI 1851339246
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1528028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1669046272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 FIRST COLONIAL RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542437",
"telephone_number": "269-362-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 FIRST COLONIAL RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542437",
"telephone_number": "269-362-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "KELSIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5151015033",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0102209359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.