JONATHAN M GOODIN MD
NPI 1679530596
Pediatrics in Carrollton, GA

Active since April 26, 2006PECOS Enrolled
804 DIXIE ST, CARROLLTON, GA 30117(770) 834-0606(770) 834-1833 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan M Goodin Md NPPES

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

JONATHAN M GOODIN MD (NPI 1679530596) is an individual pediatrics provider in Carrollton, Georgia, licensed in Georgia (58474) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679530596
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHAN M GOODINCredential: MD
Location Address804 DIXIE STCarrollton, GA 30117-4416
Mailing Address119 Ambulance Dr, Suite 202Carrollton, GA 30117-3857 · (770) 834-0606 · Fax (770) 834-1833
Fax(770) 834-1833
Sole ProprietorNo
Enumeration DateApril 26, 2006
Last NPPES UpdateJune 18, 2010
✔ NPI 1679530596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 58474
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
804 DIXIE ST, Carrollton, GA 30117

Other Identifiers 2

Medicare UPINC79103AL
Medicaid000084170AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan M Goodin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Goodin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
100 GREENWAY BLVD FL 2
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
804 DIXIE ST
CARROLLTON, GA 30117
Pediatrics (Adolescent Medicine)
804 DIXIE ST
CARROLLTON, GA 30117
Pediatrics (Adolescent Medicine)
804 DIXIE ST
CARROLLTON, GA 30117
Pediatrics (Adolescent Medicine)
804 DIXIE ST
CARROLLTON, GA 30117
Pediatrics (Adolescent Medicine)
804 DIXIE ST
CARROLLTON, GA 30117
Pediatrics
804 DIXIE ST
CARROLLTON, GA 30117

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 Jonathan Goodin's NPI number?

The NPI number for Jonathan Goodin is 1679530596. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Jonathan Goodin located?

Jonathan Goodin practices at 804 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 834-0606.

What is Jonathan Goodin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathan Goodin enrolled in Medicare?

Yes. Jonathan Goodin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Goodin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Goodin reassigns Medicare benefits to Tanner Medical Group Inc (Carrollton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Goodin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Goodin accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Jonathan Goodin 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 Jonathan Goodin was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.