Gary A Goforth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME131713 Issued in FL

Practice address

13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504

Phone

(239) 466-1111

Fax

(239) 454-2111

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Vanderbilt University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Christian and Missionary Alliance Foundation, IncGroup PAC ID 9739072232, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shell Point Home Health Home health agency, Fort Myers, FL, CCN 687083
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Larsen Health Center Nursing home, Fort Myers, FL, CCN 105966

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Christian & Missionary Alliance Foundation Inc

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1821160607

  FL

  Medicare reassignment Care Compare group NPD
• The Christian & Missionary Alliance Foundation Inc

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1932766953
  NPD
• Self Regional Healthcare

  • Diabetes Educator Registered Nurse
  • Greenwood, SC
  • NPI 1417582503
  NPD (past)

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

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025

  Hospital

  Care Compare affiliation
• The Christian & Missionary Alliance Foundation Inc

  • Skilled Nursing Facility
  • Fort Myers, FL
  • NPI 1669546321

  Nursing home

  Care Compare affiliation
• The Christian & Missionary Alliance Foundation Inc

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1932766953
  Care Compare affiliation

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1902823925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-433-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLAZA",
            "address_2": "SUITE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15051 Shell Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339081639",
            "country_code": "US",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOFORTH",
        "first_name": "GARY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME131713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006438400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.matrixcare.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Connect URL",
            "address_1": "13880 Shell Point Plz Ste 110",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339083504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corina Felicia Godoy
• Erica D Godwin
• Manik Goel, M.D.
• Cody Lane Goers, LMHC
• Elena Goetz, APRN
• Karunasree Gogineni, P.A-C
• Venu Gogineni
• Stacy Goguen, MS OTR/L
• Hardipsinh Gohil
• Tsutomu Goi, M.D.

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.