Active NPI
Justin Goins
- Athletic Trainer
- West Columbia, SC
National Provider Identifier
1760899140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1529
- Practice address
- 108 Double Branch CT
West Columbia, SC 29169-6202 - Phone
- (256) 694-2828
- NPI assigned
- Jul 17, 2014
- Last updated
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1529 | SC | Primary |
Addresses
Primary practice location
108 Double Branch CT
West Columbia, SC 29169-6202
Mailing address
108 Double Branch CT
West Columbia, SC 29169-6202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1529 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1760899140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DOUBLE BRANCH CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291696202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 DOUBLE BRANCH CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291696202",
"telephone_number": "256-694-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOINS",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.