Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750933800 Individual Practitioner Female Practitioner

Mary Goodwin

Licensed Practical Nurse • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Mary Goodwin is a registered healthcare professional specializing in Licensed Practical Nurse in Augusta, GA. Practice services are available at 1 FREEDOM WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Freedom Way

Augusta, GA 309046258

Telephone 3213567689
Associated Practice Facility / Clinic
🏢 Augusta Vamc Facility NPI 1942259924

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Augusta, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TX 319563

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003096231

Registered Pharmacist

Lisa Jones , RN

Registered Nurse

NPI 1003134891

Registered Nurse

Debra Jones , LMSW

Social Worker

NPI 1003165721

Licensed Master Social Worker

Dr. Sonya Medina , PhD

Psychologist - Clinical

NPI 1003907536

Doctor of Philosophy (Ph.D.)

Doug Mitchell , MPT

Physical Therapist

NPI 1003921768

Master of Physical Therapy

Dr. Pankajkumar Thakkar , MD

Physical Medicine & Rehabilitation

NPI 1013005149

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2019

Registered at 1 FREEDOM WAY, AUGUSTA, GA 309046258 (Tel: 3213567689)

📍
Updated Business Mailing Address July 09, 2019

Registered at 1213 DERBY LN, GROVETOWN, GA 308133835 (Tel: 3213567689)

👤
Provider Name / Credentials Updated July 09, 2019

Recorded as MARY GOODWIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2019

Licensed Practical Nurse (License #319563 in TX)

🟢
Initial NPI Registration & Enumeration July 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750933800
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2019
Last Update: July 09, 2019
Sole Proprietor: No

Mailing Address

1213 Derby Ln

Grovetown, GA 308133835

Phone: 3213567689

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.