Individual provider Active NPI

Gregg Harrison Goldin, M.D.

  • Radiation Oncology Physician
  • Raleigh, NC
National Provider Identifier
1982830782
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2013-01634 Issued in NC
Practice address
117 Sunnybrook Rd
Raleigh, NC 27610-1827
Phone
(919) 334-3900
NPI assigned
Jun 8, 2009
Last updated
Jun 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X TRN NC
Radiation Oncology Physician 2085R0001X 2013-01634 NC Primary

Addresses

Primary practice location

117 Sunnybrook Rd
Raleigh, NC 27610-1827

Mailing address

117 Sunnybrook Rd
Raleigh, NC 27610-1827
Phone (919) 334-3900

Other practice location 1

20 Medical Park Dr
Asheville, NC 28803-2493
Phone (828) 253-7077

Other identifiers 2

IdentifierTypeStateIssuer
P01402601OtherNCRR MEDICARE
1982830782MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ggoldin1487@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140823000335 NC Practitioner - Radiation Oncology 9931327566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnston Radiation Oncology LLCGroup PAC ID 7012048838, 19 clinicians
Smithfield Radiation Oncology LLCGroup PAC ID 6709835846, 18 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

2076 Veterans Pkwy
Suite 120
Clayton, NC 27520-8343
Phone (919) 585-8550

514 N Brightleaf Blvd
Suite 1200
Smithfield, NC 27577-4486
Phone (919) 209-3555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRNNCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Current Accepting new patients
Smithfield Radiation Oncology, LLC Radiation Oncology CurrentSince Jun 28, 2021 Accepting new patients
Johnston Radiation Oncology LLC Radiation Oncology CurrentSince Jun 28, 2021 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Oct 8, 2021 Accepting new patients
Adventhealth Medical Group Cancer and Specialty Care LLC Radiation Oncology PastSince Aug 24, 2026 Accepting new patients
Park Ophthalmology Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

11200 Governor Manly Way
Ste 102
Raleigh, NC 27614
Phone (919) 570-7550

117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

4420 Lake Boone Trl
Ste 102
Raleigh, NC 27607
Phone (919) 784-1473

514 N Brightleaf Blvd
Ste 1200
Smithfield, NC 27577
Phone (919) 209-3555

Interoperability endpoints

  • Direct secure messaging: ggoldin@brrh.gwaydirect.com
  • Direct secure messaging: ggoldin1487@direct.unc.nchie.net
  • Direct secure messaging: ggoldin14870@direct.unc.nchie.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1982830782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "919-334-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SUNNYBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101827",
            "telephone_number": "919-334-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032493",
            "country_code": "US",
            "telephone_number": "828-253-7077",
            "fax_number": "828-253-6898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "GREGG",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "TRN",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2013-01634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01402601",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982830782",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggoldin1487@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "117 Sunnybrook Rd",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.