NPIMap

Individual provider Active NPI

Jacob Allan Goodrich, MD

  • Orthopaedic Surgery Physician
  • Aiken, SC
National Provider Identifier
1700847399
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
020540 Issued in GA
Practice address
211 High Gate Loop
Aiken, SC 29803-3921
Phone
(803) 265-8117
Fax
(803) 265-2502
NPI assigned
Mar 31, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34112 SC
Orthopaedic Surgery Physician 207X00000X 020540 GA Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 34112 SC
Orthopaedic Surgery of the Spine Physician 207XS0117X 34412 SC
Orthopaedic Surgery of the Spine Physician 207XS0117X 020540 GA

Addresses

Primary practice location

211 High Gate Loop
Aiken, SC 29803-3921

Mailing address

1706 Magnolia Way
Augusta, GA 30909-9481
Phone (706) 210-7529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20040521000722 GA Practitioner - Orthopedic Surgery 3375534969 Reassigns benefits to 3 organizations
I20120121000144 SC Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 3375534969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

211 High Gate Loop
Aiken, SC 29803-3921
Phone (803) 265-8117

465 N Belair Rd
Suite 3C
Evans, GA 30809-3191
Phone (706) 620-3635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion99
Laminectomy or laminotomy (partial removal of spine bones)36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020540GAMDOrthopaedic Surgery of the Spine Physician
34412SCMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of Augusta, LLC Orthopaedic Surgery CurrentSince Apr 1, 2011 Accepting new patients
Piedmont Orthopedics, LLC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 3, 2024 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 3, 2024 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Sep 3, 2024 Accepting new patients
Sports Medicine Associates of Augusta, LLC Orthopaedic Surgery Past Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery Past Accepting new patients
Augusta University Past Accepting new patients

Locations

1706 Magnolia Way
Augusta, GA 30909
Phone (706) 210-7529

465 N Belair Rd
Ste 3C
Evans, GA 30809
Phone (706) 620-3635

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

211 High Gate Loop
Aiken, SC 29803
Phone (803) 265-8117

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1717/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 10

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 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1700847399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099481",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGH GATE LOOP",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033921",
            "telephone_number": "803-265-8117",
            "fax_number": "803-265-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "JACOB",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "34112",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "020540",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "34112",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "SC",
            "license": "34412",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "020540",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.