NEIL E. GOODMAN M.D.
NPI 1538448402
Pediatrics - Adolescent Medicine in St Simons Island, GA

Active since August 10, 2011
5500 FREDERICA RD UNIT 2208, ST SIMONS ISLAND, GA 31522(912) 268-4633(888) 771-6577 Get Directions Write a Review

NPPES record last updated: February 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2023, Feb 15, 2022, Sep 9, 2021 (3 updates tracked since 2021).

About Neil E. Goodman M.d. NPPES

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

NEIL E. GOODMAN M.D. (NPI 1538448402) is an individual adolescent medicine provider in St Simons Island, Georgia, licensed in Georgia (034143) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1538448402
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameNEIL E. GOODMANCredential: M.D.
Location Address5500 FREDERICA RD UNIT 2208St Simons Island, GA 31522-9703
Mailing Address23 Carriage DrSt Simons Island, GA 31522-5457 · (912) 230-2323
Fax(888) 771-6577
Sole ProprietorNo
Enumeration DateAugust 10, 2011
Last NPPES UpdateFebruary 26, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2023
NPI 1538448402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses Licensed in GA · 034143 Licensed in FL · 139707 Licensed in SC · 82230 Licensed in NY · 269918
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 ListedPediatricsTaxonomy 208000000X · License 034143 (GA)
5500 FREDERICA RD UNIT 2208, St Simons Island, GA 31522

Other Identifiers 1

Other34143GA · Medical License

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 Neil Goodman's NPI number?

The NPI number for Neil Goodman is 1538448402. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Where is Neil Goodman located?

Neil Goodman practices at 5500 Frederica Rd Unit 2208, St Simons Island, GA 31522. The listed phone number is (912) 268-4633.

What is Neil Goodman's specialty?

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

When was this NPI record last updated?

The NPPES record for Neil Goodman was last updated on February 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.