Individual provider Active NPI

Courtney Hanna Goodman, PA-C, MPA-S, B.S.

  • Medical Physician Assistant
  • Lufkin, TX
National Provider Identifier
1700813516
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01131 Issued in TX
Practice address
1111 W Frank Ave Ste 301
Lufkin, TX 75904-3392
Phone
(936) 639-7591
NPI assigned
Jun 27, 2006
Last updated
Aug 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01131 TX Primary

Addresses

Primary practice location

1111 W Frank Ave Ste 301
Lufkin, TX 75904-3392

Mailing address

1408 Bending Brook Cir
Lufkin, TX 75904-5394
Phone (936) 366-1850

Other practice location 1

10 Medical Center Blvd Ste I
Lufkin, TX 75904-3163
Phone (936) 699-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817000560 TX Practitioner - Physician Assistant 1850606179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

1105 W Frank Ave
Suite 210
Lufkin, TX 75904-3349
Phone (936) 631-6777

1111 W Frank Ave
Suite 203
Lufkin, TX 75904-3337
Phone (936) 639-7851

1605 W Frank Ave
Lufkin, TX 75904-3103
Phone (936) 899-7380

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01131TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Multispecialty Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cgoodman456723@direct.stlukeshealth.org
  • Direct secure messaging: courtney.goodman@memc.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1700813516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 BENDING BROOK CIR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045394",
            "telephone_number": "936-366-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE STE 301",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043392",
            "telephone_number": "936-639-7591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Medical Center Blvd Ste I",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043163",
            "country_code": "US",
            "telephone_number": "936-699-3161",
            "fax_number": "936-699-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "COURTNEY",
        "middle_name": "HANNA",
        "name_prefix": "Ms.",
        "credential": "PA-C, MPA-S, B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.