Active NPI
Celia Vivian Goodson, M.D.
- Internal Medicine Physician
- Nashville, TN
National Provider Identifier
1851513055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25380
- Practice address
- 710 James Robertson Pkwy
Nashville, TN 37243-4906 - Phone
- (615) 315-8920
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 49205 | KY | |
| Internal Medicine Physician | 207R00000X | 25380 | TN | Primary |
Addresses
Primary practice location
710 James Robertson Pkwy
Nashville, TN 37243-4906
Mailing address
9301 Century Oak CT
Brentwood, TN 37027-3321
Phone (615) 315-8920
Other names 1
- Celia Vivian Church
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151204001773 | TN | Order and Referring Only - Internal Medicine | 7517267057 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49205 | KY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1851513055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9301 CENTURY OAK CT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273321",
"telephone_number": "615-315-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 JAMES ROBERTSON PKWY",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372434906",
"telephone_number": "615-315-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSON",
"first_name": "CELIA",
"middle_name": "VIVIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "49205",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "25380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CELIA",
"last_name": "CHURCH",
"middle_name": "VIVIAN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.