P Praxis·MD
● Active Type 1 · Individual

MS. Theresa G. Goodman, NP-C

Nurse Practitioner·Loganville, GA· NPI 1609868298 · Enumerated 2005 · 20 years on NPI
Goodman is 1 of 47 nurse practitioner providers in Loganville and 1 of 8826 in Georgia.
NPI age
20 years
Enumerated 2005-08-19
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
OH, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2008-02-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
20 years
↑ 13 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
605 Ashton Manor Dr
Loganville, GA 300525330
📞 2164062466fax 7705541621
Mailing address
605 Ashton Manor Dr
Loganville, GA 300525330
📞 2164062466fax 7705541621

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    OH license #NP-06471GA license #RN152359 NP taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Loganville in the last 180 days. See all →
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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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