Individual provider Active NPI

Holly C Gooding, MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Boston, MA
National Provider Identifier
1750430393
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
235674 Issued in MA
Practice address
75 Francis St
Brighman Internal Medicine Associates
Boston, MA 02115-6110
Phone
(617) 732-6660
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229630 MA
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 82199 GA
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 235674 MA Primary

Addresses

Primary practice location

75 Francis St
Brighman Internal Medicine Associates
Boston, MA 02115-6110

Mailing address

75 Francis St
Brighman Internal Medicine Associates
Boston, MA 02115-6110
Phone (617) 732-6660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190506001041 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7810031168 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229630MAMDInternal Medicine Physician
82199GAMDAdolescent Medicine (Internal Medicine) Physician
235674MAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc CurrentSince Mar 16, 2019 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Mar 16, 2019 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Jan 25, 2022 Accepting new patients
Emory Medical Care Foundation Inc Internal Medicine Current Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2695 Buford Hwy NE
Atlanta, GA 30324
Phone (404) 454-2519

Interoperability endpoints

  • Direct secure messaging: hgooding39993@direct.emory.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1750430393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "BRIGHMAN INTERNAL MEDICINE ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "BRIGHMAN INTERNAL MEDICINE ASSOCIATES",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODING",
        "first_name": "HOLLY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229630",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "GA",
            "license": "82199",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "MA",
            "license": "235674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.