AMY KAY GOODMAN PA-C
NPI 1265865414
Physician Assistant in Marietta, GA

Active since August 12, 2013PECOS EnrolledAccepts Medicare Assignment
111 MARBLE MILL RD NW, MARIETTA, GA 30060(770) 422-1013(770) 514-5996 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Amy Kay Goodman Pa-c NPPES

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

AMY KAY GOODMAN PA-C (NPI 1265865414) is an individual physician assistant in Marietta, Georgia, licensed in Georgia (006889) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265865414
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY KAY GOODMANCredential: PA-C
Location Address111 MARBLE MILL RD NWMarietta, GA 30060-1047
Mailing Address111 Marble Mill Rd NwMarietta, GA 30060-1047 · (770) 422-1013 · Fax (770) 514-5996
Fax(770) 514-5996
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 12, 2013
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
NPI 1265865414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 006889
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 MARBLE MILL RD NW, Marietta, GA 30060

Secondary Practice Locations 2

Location 12383 Pate St NSnellville, GA 30078-3250 · Phone (770) 972-4845
Location 235 Collier Rd NW, Suite 635Atlanta, GA 30309-1613 · Phone (678) 725-2523

Accepted Insurance

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

Amy Kay Goodman Pa-c 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 ID749414373
PECOS Enrollment IDI20131014001228
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant (Medical)
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Nurse Practitioner (Family)
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Dermatology
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Physician Assistant (Medical)
111 MARBLE MILL RD NW
MARIETTA, GA 30060
Dermatology (MOHS-Micrographic Surgery)
111 MARBLE MILL RD NW
MARIETTA, GA 30060

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 Amy Goodman's NPI number?

The NPI number for Amy Goodman is 1265865414. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Amy Goodman located?

Amy Goodman practices at 111 Marble Mill Rd NW, Marietta, GA 30060. The listed phone number is (770) 422-1013.

What is Amy Goodman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Goodman enrolled in Medicare?

Yes. Amy Goodman 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.

What insurance does Amy Goodman accept?

Health plans from Alliant Health Plans, Inc. list Amy Goodman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Goodman was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.