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DOUGLAS GOODWIN DO
NPI 1013488337
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since December 14, 2018PECOS Enrolled
1100 E 3RD ST, CHATTANOOGA, TN 37403(423) 778-2957 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Jan 31, 2019, Dec 14, 2018 (3 updates tracked since 2018).

About Douglas Goodwin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS GOODWIN DO (NPI 1013488337) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013488337
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOUGLAS GOODWINCredential: DO
Location Address1100 E 3RD STChattanooga, TN 37403-2241
Mailing Address1100 E 3rd StChattanooga, TN 37403-2241 · (423) 778-2957
Phone(423) 778-2957
Sole ProprietorNo
Enumeration DateDecember 14, 2018
Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1013488337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN224028 (GA)
1100 E 3RD ST, Chattanooga, TN 37403
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Other Identifiers 1

Medicaid000211956CGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Goodwin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELISE SHEFFIELD SIMS MD
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2957
LINDSEY MERKLE MOORE MD
Family Medicine
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8837
DR. RICHARD C JARVIS III MD
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2957
CARTER JOSEPH RICHARDSON
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2957
DANIEL W SWEET MD
Family Medicine
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8837
MRS. GLORIA KEEL EDWARDS RN
Registered Nurse
1100 E 3RD ST, SUITE G-100
CHATTANOOGA, TN 37403
Hamilton County (423) 643-2246
JARED GORDON DO
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2957
WILLIAM SMITH
Student in an Organized Health Care Education/Training Program
1100 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-2957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Goodwin's NPI number?

The NPI number for Douglas Goodwin is 1013488337. It was assigned to this individual provider in the NPPES registry on December 14, 2018.

Where is Douglas Goodwin located?

Douglas Goodwin practices at 1100 E 3rd St, Chattanooga, TN 37403. The listed phone number is (423) 778-2957.

What is Douglas Goodwin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Douglas Goodwin enrolled in Medicare?

Yes. Douglas Goodwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Goodwin was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.