Neil E Goodman MD PC
Neil E Goodman MD PC is a healthcare organization registered as Pediatric Adolescent Medicine Physician in Brunswick, GA, holding Type 2 (organization) NPI 1104831064 since 2006. The authorized official on file is Neil Goodman, President / Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104831064 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Neil E Goodman MD PC |
| Practice address | 2500 STARLING ST, SUITE # 401, Brunswick, GA, 31520 |
| Phone | 9125540544 |
| Fax | 9125540344 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Neil Goodman |
|---|---|
| Title | President / Owner |
| Phone | 9125540544 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Secondary | 034143 | GA |
| 2080A0000X | Pediatric Adolescent Medicine Physician | Primary | 034143 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00714876G | Medicaid | GA | — |
| 034143 | Other | GA | STATE MED LIC NUMBER |
Copy-ready billing details
Provider: Neil E Goodman MD PC NPI: 1104831064 Taxonomy: 2080A0000X (Pediatric Adolescent Medicine Physician) Address: 2500 STARLING ST, SUITE # 401, Brunswick, GA, 31520
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851387310 | Coleman Sudduth | Individual | Pulmonary Disease Physician | Brunswick, GA |
| 1184610313 | Herman Levy | Individual | Pulmonary Disease Physician | Brunswick, GA |
| 1649267790 | David Kranc | Individual | Urology Physician | Brunswick, GA |
| 1902895824 | Stephen Chitty | Individual | Pulmonary Disease Physician | Brunswick, GA |
| 1285624882 | Abraham Cheong | Individual | Hematology & Oncology Physician | Brunswick, GA |
| 1548251010 | Timothy Jamieson | Individual | Radiation Oncology Physician | Brunswick, GA |
| 1083696389 | Brett Bodamer | Individual | Foot & Ankle Surgery Podiatrist | Brunswick, GA |
| 1083696090 | Matthew Eller | Individual | Foot & Ankle Surgery Podiatrist | Brunswick, GA |
Verify this record
Cross-check NPI 1104831064 against the authoritative CMS record: view Neil E Goodman MD PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Neil E Goodman MD PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.