Individual provider Active NPI

Alexandria Goodwin

  • Family Nurse Practitioner
  • Dickson, TN
National Provider Identifier
1962232363
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36667 Issued in TN
Practice address
113 Highway 70 E FL 3
Dickson, TN 37055-2075
Phone
(615) 441-4435
Fax
(615) 444-4457
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36667 TN Primary

Addresses

Primary practice location

113 Highway 70 E FL 3
Dickson, TN 37055-2075

Mailing address

127 Crestview Park Dr
Dickson, TN 37055-2855
Phone (615) 446-2708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20241124000142 TN Practitioner - Nurse Practitioner 7517492846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Medical Associates, PCGroup PAC ID 3971408774, 55 clinicians

Practice addresses (Care Compare)

113 Hwy 70 E
Dickson, TN 37055-2075
Phone (615) 446-5121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36667TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Medical Associates PC CurrentSince Dec 1, 2024 Accepting new patients
Dickson Medical Associates, PC CurrentSince Dec 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 2, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 2, 2024 Accepting new patients

Locations

758 Highway 46 S
Dickson, TN 37055
Phone (615) 446-2708

127 Crestview Park Dr
Ste 209
Dickson, TN 37055

113 Highway 70 E
Dickson, TN 37055
Phone (615) 446-5121

127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478

113 Highway 70 E
Fl 3
Dickson, TN 37055
Phone (615) 441-4450

Interoperability endpoints

  • Direct secure messaging: agoodwin29578@dicksonmedicalassociates.gardenplot.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1962232363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552855",
            "telephone_number": "615-446-2708",
            "fax_number": "615-446-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HIGHWAY 70 E FL 3",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552075",
            "telephone_number": "615-441-4435",
            "fax_number": "615-444-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.