Individual provider Active NPI

Jonathan Paul Goodnight, M.D.

  • Family Medicine Physician
  • Taylorsville, NC
National Provider Identifier
1780003699
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-01888 Issued in NC
Practice address
1668 NC Highway 16 S
Taylorsville, NC 28681-6285
Phone
(828) 632-9726
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-01888 NC Primary

Addresses

Primary practice location

1668 NC Highway 16 S
Taylorsville, NC 28681-6285

Mailing address

PO Box 896199
Charlotte, NC 28289-6285
Phone (833) 936-1364

Other practice location 1

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone (423) 989-4050

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911002730 NC Practitioner - Family Practice 9739193798 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-01888NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander County CurrentSince Oct 10, 2018 Accepting new patients
Iredell Physician Network LLC CurrentSince Sep 1, 2017 Accepting new patients
Iredell Physician Network LLC CurrentSince Sep 1, 2017 Accepting new patients
Alexander County CurrentSince Oct 10, 2018 Accepting new patients
Iredell Physician Network, LLC Past Accepting new patients

Locations

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

338 1st Ave SW
Ste 1
Taylorsville, NC 28681
Phone (828) 632-9704

1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736

338 1st Ave SW
Taylorsville, NC 28681
Phone (828) 632-9704

Interoperability endpoints

  • Direct secure messaging: jonathan.goodnight@iredell.cernerdirect.com
  • Direct secure messaging: jonathangoodnight@imhi.allscriptsdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLC 91 clinicians

Practice addresses (Care Compare)

Statesville, NC 28677
Phone (704) 838-2182

1668 NC Hwy 16 S
Taylorsville, NC 28681-6285
Phone (828) 632-9736

728 Hartness Rd
Statesville, NC 28677-3425
Phone (704) 380-6420

738 Bryant St
Statesville, NC 28677-4189
Phone (704) 873-2219

766 Hartness Rd
Suite B
Statesville, NC 28677-3479

Hospital & facility affiliations

  • Iredell Home Health Home health agency, Statesville, NC, CCN 347059
  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Medi Home Health Agency Home health agency, Taylorsville, NC, CCN 347102
  • Alexander Hospice Hospice, Taylorsville, NC, CCN 341521
  • Hospice of Iredell County, Inc Hospice, Statesville, NC, CCN 341517
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039
  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780003699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896199",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896285",
            "telephone_number": "833-936-1364",
            "fax_number": "605-942-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 NC HIGHWAY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816285",
            "telephone_number": "828-632-9726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207343",
            "country_code": "US",
            "telephone_number": "423-989-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODNIGHT",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

Verify at the official NPI Registry.