Individual provider Active NPI

Angela J Good, FNP

  • Family Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1881948339
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005895 Issued in NC
Practice address
992 Durham Rd Ste C
Wake Forest, NC 27587-6590
Phone
(919) 263-0827
Fax
(888) 586-3233
NPI assigned
Nov 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005895 NC
Family Nurse Practitioner 363LF0000X 5005895 NC Primary

Addresses

Primary practice location

992 Durham Rd Ste C
Wake Forest, NC 27587-6590

Mailing address

992 Durham Rd Ste C
Wake Forest, NC 27587-6590
Phone (919) 263-0827

Other identifiers 1

IdentifierTypeStateIssuer
1881948339MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20131219000700 NC Practitioner - Nurse Practitioner 4284861279 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5005895NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. CurrentSince Feb 1, 2025 Accepting new patients
Thriveworks Clinical - North Carolina PC CurrentSince Dec 11, 2024 Accepting new patients
Greene Mental Wellness, PLLC CurrentSince Nov 5, 2023 Accepting new patients
Person Family Medical Center Incorporated Past Accepting new patients
Person Family Medical Center Incorporated PastSince Jun 15, 2020 Accepting new patients

Locations

119 SW Maynard Rd
Cary, NC 27511
Phone (919) 415-1112

4444 The Plaza
Unit 18
Charlotte, NC 28215

8406 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (855) 675-4144

992 Durham Rd
Ste C
Wake Forest, NC 27587
Phone (919) 230-1419

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: angela.good.p1@direct.personfamily.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1881948339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 DURHAM RD STE C",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876590",
            "telephone_number": "919-263-0827",
            "fax_number": "999-586-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 DURHAM RD STE C",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876590",
            "telephone_number": "919-263-0827",
            "fax_number": "888-586-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881948339",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.