Goodwin Community Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GOODWIN COMMUNITY HEALTH CENTER

Practice address

3010 Hampton Ave
Ste 6
Brunswick, GA 31520-4224

Phone

(912) 466-8909

Fax

(912) 466-8995

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Patricia J Kota, RN, MSPL

Title

Ceo

Phone

(912) 554-3559

Specialties & licenses 1

Addresses

Other names 1

• Coastal Medical Access Project Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Andreae, M.D.

  • Specialist
  • Brunswick, GA
  • NPI 1811100688
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891904579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LAKESHORE DR",
            "address_2": "STE E",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583803",
            "telephone_number": "912-554-3559",
            "fax_number": "912-554-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 HAMPTON AVE",
            "address_2": "STE 6",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204224",
            "telephone_number": "912-466-8909",
            "fax_number": "912-466-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-554-3559",
        "authorized_official_credential": "RN, MSPL"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Access Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Golden, RN
• Bruce S. Goldin, O.D.
• Ivan N Goldner, D.M.D.
• Goodman Medical Services, PC
• Amanda L Goodman, M.ED, CCC-SLP
• R. Brian Goodwin, LPC
• Daniel Goss, RN
• Tiffany Cherie Gossett, LPC
• James Furman Gowen, M.D.
• Shanterra Grable, PHARMD

• Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.