Jennifer Goodson, NP - Medicare Nurse Practitioner in Fayetteville, GA

Jennifer Goodson, NP is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Georgia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ctca Physicians Group Of Georgia, Llc. and her current practice location is 1336 Highway 54 W Bldg 200, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 460-9777.

Jennifer Goodson is licensed to practice in Georgia (license number RN124143) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104912054.

Contact Information

Jennifer Goodson, NP
1336 Highway 54 W Bldg 200,
Fayetteville, GA 30214-4574
(770) 460-9777
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Goodson
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location1336 Highway 54 W Bldg 200, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Goodson graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1104912054
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6103853593
  • Enrollment ID: I20050718000485

Medical Identifiers

Medical identifiers for Jennifer Goodson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104912054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN124143 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeastern Regional Medical CenterNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ctca Physicians Group Of Georgia, Llc.4880841212119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Goodson allows following entities to bill medicare on her behalf.
Entity NameGeorgia Urology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245250646
PECOS PAC ID: 8921094376
Enrollment ID: O20040422000123
Entity NamePeachtree City Urgent Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336388636
PECOS PAC ID: 3971655705
Enrollment ID: O20090709000044
Entity NameCtca Physicians Group Of Georgia, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Goodson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Goodson, NP
1930 Brannan Rd,
Mcdonough, GA 30253-4310

Ph: () -
Jennifer Goodson, NP
1336 Highway 54 W Bldg 200,
Fayetteville, GA 30214-4574

Ph: (770) 460-9777

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, GA

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Eleasa Milano, APRN
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Omolola Otubaga, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214
Phone: 770-703-4448    Fax: 770-703-4038

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.