JOHNNIE N BRADLEY-GOODMAN APRN, PMHNP - BC
NPI 1306322656
Nurse Practitioner - Psychiatric/Mental Health in Macclenny, FL

Q: What is Johnnie Bradley-goodman's NPI number?

The NPI number for Johnnie Bradley-goodman is 1306322656. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Q: What is Johnnie Bradley-goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 18, 2018PECOS Enrolled

84 W LOWDER ST, MACCLENNY, FL 32063(352) 374-5615 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, Aug 10, 2021, Aug 6, 2021 and 2 more (5 updates tracked since 2018).

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About Johnnie N Bradley-goodman Aprn, Pmhnp - Bc NPPES

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

JOHNNIE N BRADLEY-GOODMAN APRN, PMHNP - BC (NPI 1306322656) is an individual psychiatric/mental health provider in Macclenny, Florida, licensed in Florida (APRN9215272) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306322656

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJOHNNIE N BRADLEY-GOODMANCredential: APRN, PMHNP - BC

Location Address84 W LOWDER STMacclenny, FL 32063-2638

Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600

Phone(352) 374-5615

Sole ProprietorNo

Enumeration DateJuly 18, 2018

Last NPPES UpdateJune 6, 20235 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1306322656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN9215272

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APRN9215272 (FL)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP9215272 (FL)

84 W LOWDER ST, Macclenny, FL 32063

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Secondary Practice Locations 2

Location 1945 Grand StStarke, FL 32091-1821 · Phone (904) 964-8382

Location 24300 SW 13th StGainesville, FL 32608-4006 · Phone (352) 374-5600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnnie N Bradley-goodman Aprn, Pmhnp - Bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32063 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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 20

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

TINA LOUISE EDWARDS

Counselor