P Praxis·MD
● Active Type 1 · Individual

DR. Sophia D Goodridge, M.D.

Urology·Roswell, GA· NPI 1255690905 · Enumerated 2012 · 14 years on NPI
Goodridge is 1 of 20 urology providers in Roswell and 1 of 563 in Georgia.
NPI age
14 years
Enumerated 2012-05-15
Primary specialty
Urology
Plus 1 subspecialty
Licensed in
GA, KY
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-06-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 563 active urology providers in Georgia.

NPI age
14 years
↓ 4 yr below median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
2500 Hospital Blvd Ste 290
Roswell, GA 30076
📞 4709564230
Mailing address
2500 Hospital Blvd Ste 290
Roswell, GA 300764918
📞 4709564230

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
20 York Street T-209, Yale New Haven Hospital
New Haven, CT 065103220
📞 2036882259fax 2036885599
Location 3
60 Bryan Blvd
Corbin, KY 407012779
📞 6065281172fax 6065287169

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    GA license #82831KY license #52077 taxonomy 208800000X

Identifiers

TypeValueNotes
05 (KY) 7100580160
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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