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SUSAN M GOLDBERG MD
NPI 1497787139
Pediatrics - Adolescent Medicine in Evans, GA

Active since July 06, 2006PECOS Enrolled
4321 UNIVERSITY PKWY, SUITE 104, EVANS, GA 30809(706) 854-2600(706) 854-2601 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan M Goldberg Md NPPES

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

SUSAN M GOLDBERG MD (NPI 1497787139) is an individual adolescent medicine provider in Evans, Georgia, licensed in Georgia (057465) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497787139
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameSUSAN M GOLDBERGCredential: MD
Location Address4321 UNIVERSITY PKWY, SUITE 104Evans, GA 30809-3058
Mailing Address4321 University Pkwy, Suite 104Evans, GA 30809-3058 · (706) 854-2600 · Fax (706) 854-2601
Phone(706) 854-2600
Fax(706) 854-2601
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateAugust 26, 2013
✔ NPI 1497787139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in GA · 057465
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedHospitalistTaxonomy 208M00000X · License 057465 (GA)
4321 UNIVERSITY PKWY, Evans, GA 30809
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Other Names 1

Other Name (5)Susan K Goldberg Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan M Goldberg 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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Goldberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
131 mi
Family Medicine
11685 ALPHARETTA HWY, SUITE 300
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1922405729 (678) 325-6611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

DR. DYAN M SPINNATO M.D.
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Columbia County (706) 854-2600
THE PEDIATRIC OFFICE, LLC
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Columbia County (706) 854-2600
DR. MARGARET MCGEE RENEW MD
Pediatrics (Adolescent Medicine)
4321 UNIVERSITY PKWY, SUITE 104
EVANS, GA 30809
Columbia County (706) 854-2600
JULIE MILLER QUATTLEBAUM MD
Pediatrics
4321 UNIVERSITY PKWY
EVANS, GA 30809
Columbia County (706) 790-4440

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 Susan Goldberg's NPI number?

The NPI number for Susan Goldberg is 1497787139. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as Susan K Goldberg MD.

Where is Susan Goldberg located?

Susan Goldberg practices at 4321 University Pkwy Suite 104, Evans, GA 30809. The listed phone number is (706) 854-2600.

What is Susan Goldberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Susan Goldberg enrolled in Medicare?

Yes. Susan Goldberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Goldberg reassigns Medicare benefits to Wellstar Medical Group, LLC (Roswell, 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 Susan Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Goldberg accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina and Oscar Health list Susan Goldberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Goldberg was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.