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Deactivated NPI 1871521237 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen C. Goodwin , MD

Specialist • Jackson, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stephen Goodwin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2006
NPI Deactivation Date February 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Goodwin, MD was a registered Specialist practicing in Jackson, TN. Throughout an active medical career spanning 18 years, Dr. Goodwin provided care at the practice location at 37 SANDSTONE CIR until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

37 Sandstone Cir

Jackson, TN 383052073

Telephone 7316610588
Fax 7316610589
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.4 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
34 Specialists

Practicing in Jackson, TN (784 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN MD18798

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Alice Mckee , MD

Family Medicine

NPI 1689662777

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active May 07, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 07, 2012

Registered at 37 SANDSTONE CIR, JACKSON, TN 383052073 (Tel: 7316610588)

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Updated Business Mailing Address May 07, 2012

Registered at 37 SANDSTONE CIR, JACKSON, TN 383052073 (Tel: 7316610588)

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Provider Name / Credentials Updated May 07, 2012

Recorded as STEPHEN GOODWIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2012

Specialist (License #MD18798 in TN)

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Initial NPI Registration & Enumeration June 28, 2006

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: 1871521237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: May 07, 2012
Deactivation Date: February 28, 2024

Mailing Address

37 Sandstone Cir

Jackson, TN 383052073

Phone: 7316610588

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.