MEDICARE: GOODMAN MEDICAL SERVICES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080A0000X	Pediatric Adolescent Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1093430654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODMAN MEDICAL SERVICES, PC

Provider Business Mailing Address
First Line	:	1089 W MISSION LN SE
Second Line	:
City	:	DARIEN
State	:	GA
Zip	:	31305-4951
Country	:	US
Telephone Number	:	912-230-2323
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 JUNIPER CT STE 100
Second Line	:
City	:	BRUNSWICK
State	:	GA
Zip	:	31520-1952
Country	:	US
Telephone Number	:	912-268-4633
Fax Number	:	888-771-6577

Authorized Official
Title or Position	:	CFO
Name	:	DR. NEIL E GOODMAN
Credential	:	MD
Telephone Number	:	912-268-4633

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	12/03/2025

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Directions to “GOODMAN MEDICAL SERVICES, PC ” Practice Location

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