GOODNESS EZEANYASO M.D.
NPI 1508653437
Student in an Organized Health Care Education/Training Program in Summerville, SC

Active since April 23, 2025
109 BURTON AVE, SUITE A, SUMMERVILLE, SC 29485(843) 970-5870 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goodness Ezeanyaso M.d. NPPES

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

GOODNESS EZEANYASO M.D. (NPI 1508653437) is an individual student in an organized health care education/training program in Summerville, South Carolina and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1508653437
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGOODNESS EZEANYASOCredential: M.D.
Location Address109 BURTON AVE, SUITE ASummerville, SC 29485
Mailing Address109 Burton Ave, Suite ASummerville, SC 29485 · (843) 970-5870
Sole ProprietorNo
Enumeration DateApril 23, 2025
Last NPPES UpdateAugust 26, 2025
NPI 1508653437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
109 BURTON AVE, Summerville, SC 29485

Other Providers at the Same Location NPPES 8

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

Surgery
109 BURTON AVE, SUITE E
SUMMERVILLE, SC 29485
Student in an Organized Health Care Education/Training Program
109 BURTON AVE, SUITE A
SUMMERVILLE, SC 29485
Internal Medicine (Cardiovascular Disease)
109 BURTON AVE, SUITE E
SUMMERVILLE, SC 29485
Family Medicine
109 BURTON AVE
SUMMERVILLE, SC 29485
Home Health
109 BURTON AVE, SUITE D
SUMMERVILLE, SC 29485
Student in an Organized Health Care Education/Training Program
109 BURTON AVE, SUITE A
SUMMERVILLE, SC 29485
Surgery
109 BURTON AVE, SUITE E
SUMMERVILLE, SC 29485
Student in an Organized Health Care Education/Training Program
109 BURTON AVE, SUITE A
SUMMERVILLE, SC 29485

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 Goodness Ezeanyaso's NPI number?

The NPI number for Goodness Ezeanyaso is 1508653437. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Goodness Ezeanyaso located?

Goodness Ezeanyaso practices at 109 Burton Ave Suite A, Summerville, SC 29485. The listed phone number is (843) 970-5870.

What is Goodness Ezeanyaso's specialty?

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

When was this NPI record last updated?

The NPPES record for Goodness Ezeanyaso was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.