Individual provider Active NPI

Catherine Walter Goodyear, P.A.-C

  • Physician Assistant
  • Clemmons, NC
National Provider Identifier
1720013543
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07310 Issued in NC
Practice address
4740 Commercial Park CT
Clemmons, NC 27012-9387
Phone
(336) 245-9521
Fax
(855) 308-2340
NPI assigned
Jul 11, 2006
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07310 NC Primary

Addresses

Primary practice location

4740 Commercial Park CT
Clemmons, NC 27012-9387

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

Other identifiers 4

IdentifierTypeStateIssuer
1720013543MedicaidNC
2064JOtherNCBCBS NC
Q00972340OtherNCRAILROAD MEDICARE
NA3809AOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190923000422 NC Practitioner - Physician Assistant 3375519465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lamond Family Medicine PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

120 S Grove St
Hendersonville, NC 28792-4007
Phone (828) 585-5489

317 N King St
Suite B
Hendersonville, NC 28792-4349
Phone (828) 693-9199

317 N King St a
Hendersonville, NC 28792-4349
Phone (828) 693-3344

4740 Commercial Park CT
Clemmons, NC 27012-9387
Phone (336) 245-9521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-07310NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NC School of Arts PastSince Jul 1, 2024 Accepting new patients
Metropolitan Patient Services Past Accepting new patients
Steven Remsen, MD PA Physician Assistant Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 5

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1720013543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 COMMERCIAL PARK CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129387",
            "telephone_number": "336-245-9521",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODYEAR",
        "first_name": "CATHERINE",
        "middle_name": "WALTER",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720013543",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "2064J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00972340",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA3809A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.