Timothy Alwyn Gooden, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

ME 114669 Issued in FL

Practice address

2068 Health Care Ave
Navarre, FL 32566-2901

Phone

(850) 939-1200

Fax

(850) 939-1257

NPI assigned

Oct 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Birmingham Addiction Medicine LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1124328745
  NPD (past) Authorized official
• Bowling Green Inn of Pensacola, LLC

  • Substance Abuse Rehabilitation Facility
  • Navarre, FL
  • NPI 1881784312
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355529600000",
    "number": "1932289154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 HEALTH CARE AVE",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662901",
            "telephone_number": "850-939-1200",
            "fax_number": "850-939-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2068 HEALTH CARE AVE",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662901",
            "telephone_number": "850-939-1200",
            "fax_number": "850-939-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "TIMOTHY",
        "middle_name": "ALWYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME 114669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Ginn
• Robert Christopher Girandola, PT
• Peni Anderson Givan, RBT
• Benjamin Richard Glidden, APRN
• Kimberly Gonzalez, RBT
• Lindsey Goodenough, PTA
• Heather Nicole Goodfellow
• Melissa Amerson Goolsby, M.S. CCC-SLP
• Nicholas Paul Goyeneche, M.D.
• Gracious Words Speech and Language Therapy, LLC

• Addiction Medicine (Family Medicine) Physician in Navarre, FL
• Providers in Navarre, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; 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.