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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRA GOODMAN
NPI 1619773652
Nurse Practitioner in Fort Mill, SC

Active since February 20, 2025
1808 SECOND BAXTER XING STE 108, FORT MILL, SC 29708(803) 802-2225 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Feb 20, 2025 (2 updates tracked since 2025).

About Alexandra Goodman NPPES

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

ALEXANDRA GOODMAN (NPI 1619773652) is an individual nurse practitioner in Fort Mill, South Carolina, licensed in South Carolina (31182) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1619773652
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALEXANDRA GOODMAN
Location Address1808 SECOND BAXTER XING STE 108Fort Mill, SC 29708-6437
Mailing Address1808 Second Baxter Xing Ste 108Fort Mill, SC 29708-6437 · (803) 802-2225
Phone(803) 802-2225
Sole ProprietorNo
Enumeration DateFebruary 20, 2025
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1619773652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 31182
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1808 SECOND BAXTER XING STE 108, Fort Mill, SC 29708
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Other Providers at the Same Location NPPES

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

MODERN CONCEPTS, LLC
General Practice
1808 SECOND BAXTER XING STE 108
FORT MILL, SC 29708
York County (803) 802-2225

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 Alexandra Goodman's NPI number?

The NPI number for Alexandra Goodman is 1619773652. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Alexandra Goodman located?

Alexandra Goodman practices at 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708. The listed phone number is (803) 802-2225.

What is Alexandra Goodman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Alexandra Goodman was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.