Active NPI
Adonis Carol Goodwin, CRNP, AGACNP-BC
- Acute Care Nurse Practitioner
- Anniston, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-145635
- Practice address
- 400 E 10TH St
Anniston, AL 36207-4716 - Phone
- (256) 235-5121
- Fax
- (256) 231-2831
- NPI assigned
- Aug 26, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-145635 | AL | Primary |
Addresses
Primary practice location
400 E 10TH St
Anniston, AL 36207-4716
Mailing address
PO Box 1380
Anniston, AL 36202-1380
Phone (256) 235-5121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201117001385 | AL | Practitioner - Nurse Practitioner | 1557772837 | Reassigns benefits to 5 organizations |
| I20251030000288 | GA | Practitioner - Nurse Practitioner | 1557772837 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Health Care Authority of the City of AnnistonGadsden HB Medical Services LLCHospital Physician Services - Southeast Professional Corporation
Practice addresses (Care Compare)
400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860
418 S 5TH St
Gadsden, AL 35901-5102
Phone (256) 543-1253
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
- Adventhealth Redmond
- Northeast Alabama Regional Medical Center
- Atrium Health Floyd Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-145635 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health Care Authority of the City of Anniston | Current | Accepting new patients | |
| The Health Care Authority of the City of Anniston | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Alabama Hospital Medicine Physicians LLC | Current | Accepting new patients | |
| Anniston Pathology | Current | Accepting new patients | |
| Alabama Physicians Group LLC | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1201 11th Ave S
Fl 4
Birmingham, AL 35205
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
Interoperability endpoints
- https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1003996000
AL
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
GA
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
AL
-
- Psychiatric Hospital Unit
- Anniston, AL
- NPI 1558608166
-
- Anatomic Pathology & Clinical Pathology Physician
- Anniston, AL
- NPI 1053387654
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1215976675
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anniston, AL
- NPI 1003996000
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1972116242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1380",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362021380",
"telephone_number": "256-235-5121",
"fax_number": "256-231-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074716",
"telephone_number": "256-235-5121",
"fax_number": "256-231-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "ADONIS",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "CRNP, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-145635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.