JOHN GORDON GODDARD MD
NPI 1629008214
Family Medicine in Shreveport, LA
About John Gordon Goddard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN GORDON GODDARD MD (NPI 1629008214) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (15478R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Gordon Goddard Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
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 John Goddard's NPI number?
The NPI number for John Goddard is 1629008214. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is John Goddard located?
John Goddard practices at 1666 E Bert Kouns Industrial Loop Suite 105, Shreveport, LA 71105. The listed phone number is (318) 212-3750.
What is John Goddard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Goddard enrolled in Medicare?
Yes. John Goddard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does John Goddard accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list John Goddard 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 John Goddard was last updated on October 31, 2007. 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.
# John Gordon Goddard, MD · NPI 1629008214
Family Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1629008214 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 15478R (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1666 E BERT KOUNS INDUSTRIAL LOOP, SUITE 105, Shreveport, LA 71105-5714
- **Phone:** (318) 212-3750 · **Fax:** (318) 212-3755
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Virginia School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** October 31, 2007
- **Other identifiers:** Medicare PIN 4J376 (LA); Medicaid 1466760 (LA); Medicare UPIN 4J376C858 (LA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1629008214) · Data from the CMS NPPES public registry.