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MS. THERESA G. GOODMAN NP-C
NPI 1609868298
Nurse Practitioner - Family in Loganville, GA

Active since August 19, 2005
605 ASHTON MANOR DR, LOGANVILLE, GA 30052(216) 406-2466(770) 554-1621 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Theresa G. Goodman Np-c NPPES

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

MS. THERESA G. GOODMAN NP-C (NPI 1609868298) is an individual family provider in Loganville, Georgia, licensed in Ohio (NP-06471) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1609868298
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. THERESA G. GOODMANCredential: NP-C
Location Address605 ASHTON MANOR DRLoganville, GA 30052-5330
Mailing Address605 Ashton Manor DrLoganville, GA 30052-5330 · (216) 406-2466 · Fax (770) 554-1621
Phone(216) 406-2466
Fax(770) 554-1621
Sole ProprietorYes
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 11, 2008
✔ NPI 1609868298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OH · NP-06471✔ Licensed in GA · RN152359 NP
605 ASHTON MANOR DR, Loganville, GA 30052
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Other Names 1

Former Name (1)Ms. Theresa G. Spencer Np-c

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 Theresa Goodman's NPI number?

The NPI number for Theresa Goodman is 1609868298. It was assigned to this individual provider in the NPPES registry on August 19, 2005. The provider is also known as Ms. Theresa G. Spencer Np-C.

Where is Theresa Goodman located?

Theresa Goodman practices at 605 Ashton Manor Dr, Loganville, GA 30052. The listed phone number is (216) 406-2466.

What is Theresa Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Goodman was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.