ADAM JACOB GOODMAN MD
NPI 1790434181
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Q: What is Adam Goodman's NPI number?

The NPI number for Adam Goodman is 1790434181. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Q: What is Adam Goodman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Goodman was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 22, 2022PECOS Enrolled

1401 CENTERVILLE RD STE 107, TALLAHASSEE, FL 32308(850) 431-5567 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Adam Jacob Goodman Md NPPES

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

ADAM JACOB GOODMAN MD (NPI 1790434181) is an individual student in an organized health care education/training program in Tallahassee, Florida, licensed in Florida (1104115948) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tallahassee.

NPPES Registry Identity

NPI1790434181

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameADAM JACOB GOODMANCredential: MD

Location Address1401 CENTERVILLE RD STE 107Tallahassee, FL 32308-4638

Mailing Address1401 Centerville Rd Ste 107Tallahassee, FL 32308-4638 · (850) 431-5567

Phone(850) 431-5567

Sole ProprietorNo

Enumeration DateMarch 22, 2022

NPPES CertifiedMarch 22, 2022

✔ NPI 1790434181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · 1104115948

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401 CENTERVILLE RD STE 107, Tallahassee, FL 32308

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Secondary Practice Location 1

Location 11607 Saint James Ct Ste 1Tallahassee, FL 32308-5352 · Phone (850) 431-7021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Jacob Goodman 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.

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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.

PADMA VASANTHAKUMAR MD

Student in an Organized Health Care Education/Training Program