Jeremy Dalton Goodwin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24747 Issued in AL

Practice address

431 S 3Rd St
Gadsden, AL 35901-5210

Phone

(256) 547-0433

Fax

(256) 547-0460

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Healthcare Services-Gadsden Physician Management LLCGroup PAC ID 7113231945, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
• Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
• Prohealth Home Health, LLC Home health agency, Huntsville, AL, CCN 017178
• Aveanna Home Health Home health agency, Gadsden, AL, CCN 017878
• Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

Merit-based Incentive Payment System (MIPS)

Final score

78.68 of 100Reported as individual

Quality

51.65

Promoting interoperability

100

Improvement activities

40

Cost

77.29

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

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.

• Prime Healthcare Services-Gadsden Physician Management LLC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1356731467
  Medicare reassignment Care Compare group NPD
• Northshore Family Medicine, P.C.

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1104969898
  NPD (past)

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

• Amedisys Alabama, LLC

  • Home Health Agency
  • Anniston, AL
  • NPI 1245298892
  Care Compare affiliation
• Comfort Care Home Health of Northeast Alabama, LLC

  • Home Health Agency
  • Gadsden, AL
  • NPI 1114451846
  Care Compare affiliation
• Eh Health Home Health of Birmingham, LLC

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• HH Health System - Dekalb, LLC

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• Mid-South Home Health of Gadsden, LLC

  • Home Health Agency
  • Rainbow City, AL
  • NPI 1740219591
  Care Compare affiliation
• Prime Healthcare Services - Gadsden LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1992103857
  Care Compare affiliation
• Prime Healthcare Services Gadsden LLC

  • Radiology Clinic/Center
  • Gadsden, AL
  • NPI 1801294764

  Hospital

  Care Compare affiliation
• Prohealth Home Health, LLC

  • Home Health Agency
  • Birmingham, AL
  • NPI 1194324624
  Care Compare affiliation

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1790745487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-547-0433",
            "fax_number": "256-547-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015210",
            "telephone_number": "256-547-0433",
            "fax_number": "256-547-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JEREMY",
        "middle_name": "DALTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "24747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I082199",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD LOCATION ID NUMBER",
            "identifier": "511-69544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "10270G2201",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gmsphc Partners LLC
• George Scott Godfey, R.PH.
• Ashleigh Patrice Goggins, LPC-S;NCC
• Kristan Goodman
• Goodwin Medical Clinic LLC
• Gordon R Isbell, III, DMD, PA
• Amy M Gorecki Kelley, CRNP
• Brooke Leann Gorham, D.P.M.
• Billy Barrett Gravitt, DMD
• Cody Barry Gray, CRNP

• Family Medicine Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.