CRYSTAL ANDREA GOODALL MD
NPI 1316731045
Student in an Organized Health Care Education/Training Program in Macon, GA

Q: What is Crystal Goodall's NPI number?

The NPI number for Crystal Goodall is 1316731045. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Crystal Goodall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Crystal Goodall was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 07, 2025PECOS Enrolled

350 HOSPITAL DR, MACON, GA 31217(478) 751-0367 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Apr 7, 2025 (2 updates tracked since 2025).

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About Crystal Andrea Goodall Md NPPES

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

CRYSTAL ANDREA GOODALL MD (NPI 1316731045) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316731045

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCRYSTAL ANDREA GOODALLCredential: MD

Location Address350 HOSPITAL DRMacon, GA 31217-3838

Mailing Address380 Hospital Dr Ste 430Macon, GA 31217-8017 · Fax (478) 215-4018

Phone(478) 751-0367

Sole ProprietorNo

Enumeration DateApril 7, 2025

Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1316731045 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

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.

350 HOSPITAL DR, Macon, GA 31217

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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)

Crystal Andrea Goodall 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 20

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

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