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DR. JACQUELINE GOODRICH MD
NPI 1295671923
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since April 27, 2026PECOS Enrolled
677 CHURCH STREET, MARIETTA, GA 30060(470) 793-6148 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacqueline Goodrich Md NPPES

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

DR. JACQUELINE GOODRICH MD (NPI 1295671923) is an individual student in an organized health care education/training program in Marietta, Georgia, licensed in Georgia (112573) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295671923
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JACQUELINE GOODRICHCredential: MD
Location Address677 CHURCH STREETMarietta, GA 30060
Mailing Address677 Church StreetMarietta, GA 30060
Phone(470) 793-6148
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 26, 2026
✔ NPI 1295671923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in GA · 112573
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.
677 CHURCH STREET, Marietta, GA 30060
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Goodrich Md 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 18

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

KERI LEIGH SEAMON DO
Emergency Medicine
677 CHURCH STREET, ATTN: GME
MARIETTA, GA 30060
Cobb County (678) 850-6212
DR. ANILA JACOB M.D.
Hospitalist
677 CHURCH STREET, WELLSTAR HOSPITALIST GROUP-WELLSTAR KENNESTONE HOSPITAL
MARIETTA, GA 30060
Cobb County (770) 793-7750
ELIAHU S FEEN M.D.
Psychiatry & Neurology (Neurocritical Care)
677 CHURCH STREET, SUITE 100N
MARIETTA, GA 30060
Cobb County (770) 422-2326
AUSTIN WYNN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET
MARIETTA, GA 30060
Cobb County (770) 793-5000
LINDA HUYNH PHUNG
Student in an Organized Health Care Education/Training Program
677 CHURCH STREET, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7327
DR. SAMISH DHUNGANA MD
Psychiatry & Neurology (Neurology)
677 CHURCH STREET, NEUROLOGY DEPARTMENT
MARUETTA, GA 30060
Cobb County (281) 866-5077
NATHAN ROBERT THOMPSON AA
Anesthesiologist Assistant
677 CHURCH STREET
MARIETTA, GA 30060
Cobb County (770) 794-0477
TERESA TYNESE BYRD M.D.
Obstetrics & Gynecology
677 CHURCH STREET, GME
MARIETTA, GA 30060
Cobb County (770) 793-7733

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 Jacqueline Goodrich's NPI number?

The NPI number for Jacqueline Goodrich is 1295671923. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Jacqueline Goodrich located?

Jacqueline Goodrich practices at 677 Church Street, Marietta, GA 30060. The listed phone number is (470) 793-6148.

What is Jacqueline Goodrich's specialty?

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

Is Jacqueline Goodrich enrolled in Medicare?

Yes. Jacqueline Goodrich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Goodrich was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.