Individual provider Active NPI

Brianna Goodie, RN

  • Registered Nurse
  • Macon, GA
National Provider Identifier
1699514885
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN260514 Issued in GA
Practice address
912 Ahwenasa TRL
Macon, GA 31220-3607
Phone
(478) 254-1503
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN642912 CA
Registered Nurse 163W00000X RN260514 GA Primary

Addresses

Primary practice location

912 Ahwenasa TRL
Macon, GA 31220-3607

Mailing address

912 Ahwenasa TRL
Macon, GA 31220-3607
Phone (559) 940-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN642912CAMDRegistered Nurse
RN260514GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Kidney Institute Current Accepting new patients
Midtown Infusion Center Current Accepting new patients
Georgia Kidney Institute LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1699514885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 AHWENASA TRL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312203607",
            "telephone_number": "559-940-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 AHWENASA TRL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312203607",
            "telephone_number": "478-254-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIE",
        "first_name": "BRIANNA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN642912",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN260514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.