Healthcare Provider Details

I. General information

NPI: 1942631254
Provider Name (Legal Business Name): JANET GOFF MSN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

IV. Provider business mailing address

1225 MONTAGUE AVENUE EXT
GREENWOOD SC
29649-9027
US

V. Phone/Fax

Practice location:
  • Phone: 864-519-0054
  • Fax: 864-447-5707
Mailing address:
  • Phone: 864-519-0054
  • Fax: 864-447-5707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number18606
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: