COLLEEN A. GOODWIN OT
NPI 1396709051
Occupational Therapist in Douglasville, GA
About Colleen A. Goodwin Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN A. GOODWIN OT (NPI 1396709051) is an individual occupational therapist in Douglasville, Georgia, licensed in Georgia (OT001102) and active in the NPI registry since April 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colleen A. Goodwin Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Colleen Goodwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Villa Rica, GA 30180
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Colleen Goodwin's NPI number?
The NPI number for Colleen Goodwin is 1396709051. It was assigned to this individual provider in the NPPES registry on April 12, 2006.
Where is Colleen Goodwin located?
Colleen Goodwin practices at 3441 Stembler Rdg, Douglasville, GA 30135. The listed phone number is (770) 920-0574.
What is Colleen Goodwin's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Colleen Goodwin enrolled in Medicare?
Yes. Colleen Goodwin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Colleen Goodwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Goodwin reassigns Medicare benefits to Professional Rehabilitation Associates, LLC (Villa Rica, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colleen Goodwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Colleen Goodwin was last updated on April 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.