NPI age
14 years
Enumerated 2011-08-10
● Active
Type 1 · Individual
Neil E. Goodman, M.D.
Goodman is 1 of 1 pediatrics providers in St Simons Island and 1 of 138 in Georgia.
Primary specialty
Pediatrics
Plus 4 subspecialties
Licensed in
GA, FL, SC, NY
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 138 active pediatrics providers in Georgia.
NPI age
14 years
↓ 5 yr below median (19 yr)
State licenses
4 states
Top 97% — 2% of peers are multi-state
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Practice location
5500 Frederica Rd Unit 2208
St Simons Island, GA 315229703
Mailing address
23 Carriage Dr
St Simons Island, GA 315225457
Specialties
-
Pediatrics PrimaryA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 34143 | MEDICAL LICENSE |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.