Individual provider Active NPI

Marcia Nicole Newby-Goodman, MD

  • Sports Medicine (Family Medicine) Physician
  • Norfolk, VA
National Provider Identifier
1992185011
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
0101266602 Issued in VA
Practice address
930 Majestic Ave Ste 220
Norfolk, VA 23504-4055
Phone
(757) 942-8020
Fax
(757) 942-8015
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME129819 FL
Family Medicine Physician 207Q00000X 21807 FL
Sports Medicine (Family Medicine) Physician 207QS0010X 0101266602 VA Primary

Addresses

Primary practice location

930 Majestic Ave Ste 220
Norfolk, VA 23504-4055

Mailing address

930 Majestic Ave Ste 220
Norfolk, VA 23504-4055
Phone (757) 942-8020

Other practice location 1

201 N Clyde Morris Blvd
Suite 200
Daytona Beach, FL 32114-2724
Phone (386) 254-4165

Other practice location 2

590 Manning Drive
CB# 7595
Chapel Hill, NC 27599
Phone (984) 974-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190726000001 VA Practitioner - Family PracticePractitioner - Sports Medicine 7113233669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Specialists, Inc.Group PAC ID 3072617380, 3 clinicians

Practice addresses (Care Compare)

930 Majestic Ave
Suite 220
Norfolk, VA 23504-4055
Phone (757) 942-8020

Hospital & facility affiliations

  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
68.34
Improvement activities
40
Cost
94.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101266602VAMDSports Medicine (Family Medicine) Physician
21807FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Specialists, Inc Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Fort Norfolk Plaza Medical Associates, LLC Family Medicine Current Accepting new patients

Locations

930 Majestic Ave
Ste 220
Norfolk, VA 23504
Phone (757) 627-6892

Interoperability endpoints

  • Direct secure messaging: marcia.newbygoodman@pcsinc.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1992185011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE STE 220",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-942-8020",
            "fax_number": "757-942-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE STE 220",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-942-8020",
            "fax_number": "757-942-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Clyde Morris Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142724",
            "country_code": "US",
            "telephone_number": "386-254-4165",
            "fax_number": "386-254-4339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Manning Drive",
            "address_2": "CB# 7595",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27599",
            "country_code": "US",
            "telephone_number": "984-974-4544",
            "fax_number": "919-966-6125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWBY-GOODMAN",
        "first_name": "MARCIA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME129819",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "21807",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "VA",
            "license": "0101266602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.