AMANDA JACKSON GOODWIN PAC
NPI 1093881393
Physician Assistant - Medical in Danville, KY

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
600 W WALNUT ST, DANVILLE, KY 40422(859) 238-5530(859) 238-5380 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Jackson Goodwin Pac NPPES

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

AMANDA JACKSON GOODWIN PAC (NPI 1093881393) is an individual medical provider in Danville, Kentucky, licensed in Kentucky (PA912) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of University Of Kentucky College Of Medicine (2005).

NPPES Registry Identity

NPI1093881393
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA JACKSON GOODWINCredential: PAC
Location Address600 W WALNUT STDanville, KY 40422-1309
Mailing Address600 W Walnut StDanville, KY 40422-1309 · (859) 238-5530 · Fax (859) 238-5380
Fax(859) 238-5380
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2005
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
NPI 1093881393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in KY · PA912
600 W WALNUT ST, Danville, KY 40422

Secondary Practice Location 1

Location 1217 S 3rd StDanville, KY 40422-1823 · Phone (859) 699-2991

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Jackson Goodwin Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941380802
PECOS Enrollment IDI20080104000049
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 3

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

Specialist/Technologist (Athletic Trainer)
600 W WALNUT ST
DANVILLE, KY 40422
Specialist/Technologist (Athletic Trainer)
600 W WALNUT ST
DANVILLE, KY 40422
Specialist/Technologist (Athletic Trainer)
600 W WALNUT ST
DANVILLE, KY 40422

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 Amanda Goodwin's NPI number?

The NPI number for Amanda Goodwin is 1093881393. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Amanda Goodwin located?

Amanda Goodwin practices at 600 W Walnut St, Danville, KY 40422. The listed phone number is (859) 238-5530.

What is Amanda Goodwin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Goodwin enrolled in Medicare?

Yes. Amanda Goodwin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Goodwin was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.