| Quincy Wudias Goodwin, | |
|
5126 Hospital Dr Ne, Covington, GA 30014-2566 | |
| (770) 607-7339 | |
| Not Available |
| Full Name | Quincy Wudias Goodwin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 5126 Hospital Dr Ne, Covington, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356198345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13616 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology Services P C | 3577454024 | 70 |
| Entity Name | Summit Radiology Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174572374 PECOS PAC ID: 3577454024 Enrollment ID: O20040323001388 |
| Mailing Address | Practice Location Address |
|---|---|
| Quincy Wudias Goodwin, Po Box 200096, Cartersville, GA 30120-9002 Ph: (770) 607-7339 | Quincy Wudias Goodwin, 5126 Hospital Dr Ne, Covington, GA 30014-2566 Ph: (770) 607-7339 |
Mr. Juriaan Martijn Van Der Heijden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5303 Adams St Ne Ste A, Covington, GA 30014 Phone: 770-554-5009 |
Ashley E Heath, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4155 Baker Street Ne, Suite 100, Covington, GA 30014 Phone: 770-788-0620 Fax: 678-342-3327 |
Mrs. Tiffany Blamble, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4181 Hospital Dr Ne Ste 204, Covington, GA 30014 Phone: 770-788-6534 |
Shelby Boggus King, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 Phone: 770-788-6534 |
Mr. Jace John Crawford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053 |
Ryan Kyle Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 800-532-6151 |
Miss Jamie Thomas Burke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6175 Newton Dr Ne, Covington, GA 30014 Phone: 770-787-6900 Fax: 770-787-6962 |