Active NPI
Thomas C Goodwin, MD
- Geriatric Psychiatry Physician
- Asheville, NC
National Provider Identifier
1952357949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 27915
- Practice address
- 90 Southside Avenue
Suite 300
Asheville, NC 28801-4100 - Phone
- (828) 210-2048
- Fax
- (828) 277-4847
- NPI assigned
- May 25, 2006
- Last updated
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 27915 | NC | Primary |
Addresses
Primary practice location
90 Southside Avenue
Suite 300
Asheville, NC 28801-4100
Mailing address
90 Southside Avenue
Suite 300
Asheville, NC 28801-4100
Phone (828) 210-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891268Y | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27915 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Physicians - Mountain, PA | Geriatric Psychiatry | Past | Accepting new patients |
| Extended Care Physicians - Metrolina PA | Geriatric Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Asheville, NC
- NPI 1134393531
Geriatric Psychiatry
-
dba ECP North Carolina, PA
- Geriatric Medicine (Internal Medicine) Physician
- Asheville, NC
- NPI 1104823087
Geriatric Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1952357949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVENUE",
"address_2": "SUITE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014100",
"telephone_number": "828-210-2048",
"fax_number": "828-277-4847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVENUE",
"address_2": "SUITE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014100",
"telephone_number": "828-210-2048",
"fax_number": "828-277-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "NC",
"license": "27915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891268Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.