Netanya Goodman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118411 Issued in FL

Practice address

5880 49TH St N Ste N104
St Petersburg, FL 33709-2150

Phone

(727) 528-6100

Fax

(727) 528-7895

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinellas Medical Associates PAGroup PAC ID 7214968791, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Pinellas Medical Associates, PA

  • Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1285765040
  Medicare reassignment Care Compare group
• Pediatric Physician Services, Inc.

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1770532798
  Medicare reassignment
• Gateway Radiology Consultants, P.a.

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1952747842
  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1922860972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N STE 104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092142",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N STE N104",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-528-6100",
            "fax_number": "727-528-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "NETANYA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1213893000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviana Gonzalez
• Tamsen Anne Gooch, THERAPIST
• Good Psych Today
• Tiffany N Gooding, PT
• Goodman Services, LLC
• Aaron Goodrum, M.D.
• Heather Melissa Goodson, PA-C
• Goodwill Industries-Suncoast, Inc.
• Karen R Goodwin, PA-C
• Michael Jon Goodwin, LDO

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.