| Jamie C Goodman, DO | |
|
6119 White Horse Rd Ste 14, Greenville, SC 29611-3838 | |
| (864) 614-7001 | |
| Not Available |
| Full Name | Jamie C Goodman |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6119 White Horse Rd Ste 14, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013956663 | NPI | - | NPPES |
| 3300104 | Medicaid | TN | |
| 4134193 | Other | TN | BLUE CROSS |
| 377355 | Medicaid | SC | |
| 1013956663 | Medicaid | VA | |
| 3300103 | Medicaid | TN | |
| 4149923 | Other | TN | BLUE CROSS |
| 3300102 | Medicaid | TN | |
| P00357325 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1433 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 0102201965 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 37735 (South Carolina) | Primary |
| Entity Name | Doctor For Life, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881028892 PECOS PAC ID: 2264668540 Enrollment ID: O20131114000858 |
| Entity Name | Elite Patient Care Of South Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866 |
| Entity Name | Oak Street Health Physicians Group Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023614914 PECOS PAC ID: 3375959075 Enrollment ID: O20210303003162 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie C Goodman, DO Po Box 740013, Atlanta, GA 30374-0013 Ph: (312) 733-9730 | Jamie C Goodman, DO 6119 White Horse Rd Ste 14, Greenville, SC 29611-3838 Ph: (864) 614-7001 |
David Markus Diamant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 W Faris Rd Ste B, Greenville, SC 29605 Phone: 864-522-6225 Fax: 864-522-6235 | |
Makayla Swygert, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 877 W Faris Rd, Greenville, SC 29605 Phone: 864-455-9022 Fax: 864-455-9082 | |
Michael James Poinsette, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Creekview Ct, Greenville, SC 29615 Phone: 864-522-6300 Fax: 864-522-6305 | |
Steven M Newman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Cross Park Ct, Greenville, SC 29605 Phone: 864-271-9773 Fax: 864-271-1151 | |
Dr. Fariha Batool Sultan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 | |
Laura Colleen Nall, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11402 Anderson Rd, Suite A, Greenville, SC 29611 Phone: 864-631-2799 Fax: 864-631-2795 |