Ellis Austin Goodwin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12983 Issued in SC

Practice address

3799 12TH Street Ext Ste 100
Cayce, SC 29033-3750

Phone

(803) 926-6810

NPI assigned

Jun 18, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: egoodwin193341@direct.lexmed.com

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.

• Lexington Health Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753

  SC

  Medicare reassignment Care Compare group NPD
• Lexington Health Inc

  • Clinic Pharmacy
  • West Columbia, SC
  • NPI 1023616232
  Care Compare group
• Lexington Health Inc

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1063019453
  Care Compare group
• Lexington Health Inc

  • Rural Health Clinic/Center
  • Swansea, SC
  • NPI 1245837632
  Care Compare group
• Lexington Health Inc

  • Radiology Clinic/Center
  • Lexington, SC
  • NPI 1275130650
  Care Compare group
• Lexington Health Inc

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
  • NPI 1285236083
  Care Compare group
• Lexington Health Inc

  • Radiology Clinic/Center
  • Columbia, SC
  • NPI 1326640442
  Care Compare group
• Lexington Health Inc

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1386241834
  Care Compare group
• Lexington Health Inc

  • Radiology Clinic/Center
  • Cayce, SC
  • NPI 1386343135
  Care Compare group
• Lexington Health Inc

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
  • NPI 1396342838
  Care Compare group
• Lexington Health Inc

  • Radiology Clinic/Center
  • Lexington, SC
  • NPI 1407457013
  Care Compare group
• Lexington Health Inc

  • Ambulatory Surgical Clinic/Center
  • Lexington, SC
  • NPI 1497352934
  Care Compare group

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1972490571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 COACHMAKER RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092406",
            "telephone_number": "843-751-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 12TH STREET EXT STE 100",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333750",
            "telephone_number": "803-926-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ELLIS",
        "middle_name": "AUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12983",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egoodwin193341@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "3799 12th Street Ext Ste 100",
            "city": "Cayce",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290333750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frederick Michael Gass
• Mikelle Gaston, APRN
• Tiffany Gethers, FNP-C
• Chasity Darcell Gilliam
• Jean Ann Whyte Goette, PHARMD
• Wendy K Graham, LPC
• Alexandria Danielle Greene
• Growing Home SE
• Robert Guerriero
• Regina E. Hammock, D.O.

• All providers in Cayce, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.