NPIMap

Individual provider Active NPI

Zachary-Ross David Goodwin, M.D

  • Neurology Physician
  • Lacombe, LA
National Provider Identifier
1699206805
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
331359 Issued in LA
Practice address
64301 Highway 434
Lacombe, LA 70445-5411
Phone
(985) 885-4500
NPI assigned
Mar 21, 2017
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MS
Neurology Physician 2084N0400X 331359 LA Primary

Addresses

Primary practice location

64301 Highway 434
Lacombe, LA 70445-5411

Mailing address

64301 Highway 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211102002600 MS Practitioner - NeurologyPractitioner - Psychiatry 2466723291 Reassigns benefits to 1 organization
I20220705003155 LA Practitioner - Neurology 2466723291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians

Practice addresses (Care Compare)

1000 Ochsner Blvd
Covington, LA 70433-8107
Phone (985) 875-2828

64301 Hwy 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 16, 2023 Accepting new patients
Paradigm Health System CurrentSince Jun 12, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Paradigm Health System Neurology CurrentSince Aug 1, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 16, 2023 Accepting new patients

Locations

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909

3190 E Causeway Approach
Mandeville, LA 70448

1514 Jefferson Hwy
New Orleans, LA 70121

985 Robert Blvd
Ste 104
Slidell, LA 70458
Phone (985) 520-0909

987 Robert Blvd
Slidell, LA 70458

995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

1410 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 815-4775

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Interoperability endpoints

  • Direct secure messaging: zachary.goodwin.1@3401.direct.athenahealth.com
  • Direct secure messaging: zgoodwin1652982@direct.ochsner.org
  • Direct secure messaging: zgoodwin78100@ummc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Sterling Surgical HospitalSlidell, LA, CCN 190256 Hospital Other Jan 1, 2026

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1699206805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64301 HIGHWAY 434",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455411",
            "telephone_number": "985-882-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64301 HIGHWAY 434",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455411",
            "telephone_number": "985-885-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ZACHARY-ROSS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "331359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

Verify at the official NPI Registry.