Individual provider Active NPI

Amber Dawn Goss

  • Family Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1861023913
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197732 Issued in GA
Practice address
1575 Chattanooga Ave Ste 1
Dalton, GA 30720-2672
Phone
(706) 876-2130
Fax
(706) 876-2168
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 RN197732 GA Primary

Addresses

Primary practice location

1575 Chattanooga Ave Ste 1
Dalton, GA 30720-2672

Mailing address

1575 Chattanooga Ave Ste 1
Dalton, GA 30720-2672
Phone (706) 876-2130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura@whitespediatrics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200408000007 GA Practitioner - Nurse Practitioner 6406285766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gordon Emergency Physicians, LLCGroup PAC ID 6406149400, 22 clinicians

Practice addresses (Care Compare)

1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 629-2895

Hospital & facility affiliations

  • Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023

Merit-based Incentive Payment System (MIPS)

Final score
99.35 of 100Reported as group
Quality
92.65
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
Quality
87.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon Emergency Physicians, LLC CurrentSince Feb 20, 2020 Accepting new patients
Murray Emergency Physicians, LLC CurrentSince Jul 1, 2021 Accepting new patients
Gordon Emergency Physicians, LLC CurrentSince Feb 20, 2020 Accepting new patients
White'S Pediatrics Urgent Care Past Accepting new patients
White'S Pediatrics PastSince Feb 2, 2020 Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1861023913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVE STE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202672",
            "telephone_number": "706-876-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 CHATTANOOGA AVE STE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202672",
            "telephone_number": "706-876-2130",
            "fax_number": "706-876-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura@whitespediatrics.com",
            "affiliation": "N",
            "endpointDescription": "laura@whitespediatrics.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1575 Chattanooga Ave Ste 1",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307202672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.