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DR. KINA LE GOODMAN M.D.
NPI 1790104669
Pediatrics - Pediatric Emergency Medicine in Atlanta, GA

Active since April 08, 2014PECOS EnrolledAccepts Medicare Assignment
1405 CLIFTON RD NE, ATLANTA, GA 30322(615) 936-1000 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2020, Mar 19, 2020, Jan 19, 2018 (3 updates tracked since 2018).

About Dr. Kina Le Goodman M.d. NPPES

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

DR. KINA LE GOODMAN M.D. (NPI 1790104669) is an individual pediatric emergency medicine provider in Atlanta, Georgia, licensed in Georgia (78066) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1790104669
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KINA LE GOODMANCredential: M.D.
Location Address1405 CLIFTON RD NEAtlanta, GA 30322-0005
Mailing Address1393 Branch DrTucker, GA 30084-1274
Phone(615) 936-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 8, 2014
Last NPPES UpdateJuly 17, 20203 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
✔ NPI 1790104669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in GA · 78066
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 78066 (GA)
1405 CLIFTON RD NE, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kina Le Goodman M.d. 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.

PECOS PAC ID8628347416
PECOS Enrollment IDI20200724000319
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 Reassignments

2

Medicare enrollment records show Kina Goodman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
163 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Georgia enrollment
  • 330 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians Of Memphis LLC
479 mi
Emergency Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
NPI 1437105277 (618) 463-7474

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

Other Providers at the Same Location NPPES 20

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

CARRIE NG MD
Pediatrics (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7141
MR. MARCOS FRANCISCO MILLS MD
Pediatrics (Pediatric Cardiology)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 256-2593
MEAGAN GREEN PNP
Nurse Practitioner (Pediatrics)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6330
EVAN ORENSTEIN MD
Pediatrics
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6104
CAITLIN QUIGLEY CRNA
Nurse Anesthetist, Certified Registered
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
EIMAN ABDULRAHMAN M.D.
Emergency Medicine (Pediatric Emergency Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-7142
CAROL JOHN MD
Student in an Organized Health Care Education/Training Program
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-5437
DR. BRANDON W KIRKLAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
1405 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 785-6210

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 Kina Goodman's NPI number?

The NPI number for Kina Goodman is 1790104669. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Kina Goodman located?

Kina Goodman practices at 1405 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (615) 936-1000.

What is Kina Goodman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kina Goodman enrolled in Medicare?

Yes. Kina Goodman 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.

Which organizations bill Medicare for Kina Goodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kina Goodman reassigns Medicare benefits to 2 organizations: Emergency Coverage, LLC (Newport, TN) and Southeastern Emergency Physicians Of Memphis LLC (Alton, IL). Each 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 Kina Goodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kina Goodman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kina Goodman 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 Kina Goodman was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.