Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Ledontrae Gooden, PA-C

Medical Physician Assistant in Fort Moore, GA · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528607272

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Registry record

Entity type Individual (Type 1)

Name Mr. Ledontrae Gooden

Credential PA-C

Sex Male

Practice address Fort Moore, GA, 31905

Phone (916) 385-1006

Enumeration date Dec 28, 2019

Last updated in NPPES Jan 22, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

172A00000X Driver Other Service Providers Secondary

Other identifiers

Identifier	Type	State	Issuer
NONE	Other	-	NONE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Ledontrae Gooden?

Ledontrae Gooden is registered in NPPES with the primary taxonomy of Medical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Rebecca Atkinson Optometrist · Fort Benning, GA NPI 1437157112 Ewa Garner Physician Assistant · Fort Moore, GA NPI 1528052842 James Walter Emergency Medical Services (Emergency Medicine) Physician · Fort Benning, GA NPI 1366436149 William Randall Physician Assistant · Fort Benning, GA NPI 1285625707 Jerry Starr Surgical Physician Assistant · Fort Moore, GA NPI 1194706358 Fletcher Boulware Anesthesiology Physician · Fort Benning, GA NPI 1184608218 William Brown Family Nurse Practitioner · Fort Benning, GA NPI 1205810074 Greg Atkinson Optometrist · Ft. Benning, GA NPI 1265410161

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-22.