Individual provider Active NPI

Jami Nacole Goodwin, M.D.

  • Obstetrics & Gynecology Physician
  • Kingsport, TN
National Provider Identifier
1811209620
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51286 Issued in TN
Practice address
105 W Park Dr
Kingsport, TN 37660-3805
Phone
(423) 224-3220
Fax
(423) 224-3233
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 51286 TN
Obstetrics & Gynecology Physician 207V00000X 51286 TN Primary

Addresses

Primary practice location

105 W Park Dr
Kingsport, TN 37660-3805

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 2

1021 Coolidge St
Suite 2
Greeneville, TN 37743-4672
Phone (423) 636-2300

Other practice location 3

1424 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 783-5560

Other identifiers 2

IdentifierTypeStateIssuer
P01326669OtherTNPTAN
1811209620OtherTNNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140521002115 TN Practitioner - Obstetrics/Gynecology 5092938977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 W Oakland Ave
Suite 310
Johnson City, TN 37604-2192

3011 Vicksburg Rd
Johnson City, TN 37604-6398

Hospital & facility affiliations

  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51286TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Takoma Regional Hospital Inc CurrentSince Apr 15, 2014 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 25, 2024 Accepting new patients
Wellmont Medical Associates Inc Obstetrics & Gynecology CurrentSince Oct 25, 2024 Accepting new patients
Takoma Regional Hospital, Inc CurrentSince Apr 15, 2014 Accepting new patients

Locations

1021 Coolidge St
Ste 2
Greeneville, TN 37743
Phone (423) 636-2300

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

105 W Park Dr
Kingsport, TN 37660
Phone (423) 224-3220

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1811209620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W PARK DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603805",
            "telephone_number": "423-224-3220",
            "fax_number": "423-224-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Coolidge St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377434672",
            "country_code": "US",
            "telephone_number": "423-636-2300",
            "fax_number": "423-636-0348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1424 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-783-5560",
            "fax_number": "423-783-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JAMI",
        "middle_name": "NACOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "51286",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "51286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P01326669",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811209620",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.