Individual provider Active NPI

Savannah Leigh Goodlett, CRNP

  • Family Nurse Practitioner
  • Southside, AL
National Provider Identifier
1790440253
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-147674 Issued in AL
Practice address
1322 Al 77
Southside, AL 35097
Phone
(256) 344-7070
NPI assigned
Nov 1, 2021
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-147674 AL Primary

Addresses

Primary practice location

1322 Al 77
Southside, AL 35097

Mailing address

1322 Highway 77
Southside, AL 35907-0406
Phone (256) 344-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220609000671 AL Practitioner - Nurse Practitioner 2961880570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-147674ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Pediatrics, LLC PastSince Nov 3, 2024 Accepting new patients
Midway Medical Clinic LLC PastSince Jul 25, 2019 Accepting new patients
Horizon Medical Clinic LLC PastSince Nov 9, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17774/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: savannah.goodlett.1@17774.direct.athenahealth.com

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, 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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1790440253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "359070406",
            "telephone_number": "256-344-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 AL 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "35097",
            "telephone_number": "256-344-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLETT",
        "first_name": "SAVANNAH",
        "middle_name": "LEIGH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southside, AL

Sources for this page

Verify at the official NPI Registry.