GOODSIDE HEALTH MEDICAL, PLLC
NPI 1386496636
Pediatrics in Raleigh, NC

Q: What is Goodside Health Medical, PLLC's NPI number?

The NPI number for Goodside Health Medical, PLLC is 1386496636. It was assigned to this organization in the NPPES registry on April 2, 2024.

Q: What is Goodside Health Medical, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 02, 2024

209 FAYETTEVILLE ST STE 1-C, RALEIGH, NC 27601(512) 884-5190 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Goodside Health Medical, Pllc NPPES

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

GOODSIDE HEALTH MEDICAL, PLLC (NPI 1386496636) is a healthcare organization registered as a pediatrics in Raleigh, North Carolina and active in the NPI registry since April 2024. The organization lists Gerardo Reyes, Owner, as its authorized official.

NPPES Registry Identity

NPI1386496636

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameGOODSIDE HEALTH MEDICAL, PLLC

Location Address209 FAYETTEVILLE ST STE 1-CRaleigh, NC 27601-1309

Mailing Address1701 River Run Ste 302Fort Worth, TX 76107-6547

Phone(512) 884-5190

Organization SubpartNo

Authorized OfficialGerardo ReyesOwner · (512) 884-5190

Enumeration DateApril 2, 2024

NPPES CertifiedApril 2, 2024

✔ NPI 1386496636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

209 FAYETTEVILLE ST STE 1-C, Raleigh, NC 27601

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Goodside Health Medical, PLLC's NPI number?

The NPI number for Goodside Health Medical, PLLC is 1386496636. It was assigned to this organization in the NPPES registry on April 2, 2024.

Where is Goodside Health Medical, PLLC located?

Goodside Health Medical, PLLC is located at 209 Fayetteville St Ste 1-C, Raleigh, NC 27601. The listed phone number is (512) 884-5190.

What is Goodside Health Medical, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Goodside Health Medical, PLLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.