JEREMY DALTON GOODWIN (M.D.) – Family Medicine Physician, NPI 1790745487

JEREMY DALTON GOODWIN (M.D.) is a healthcare provider. based in Gadsden, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 24747 (AL). The NPI Number for JEREMY DALTON GOODWIN (M.D.) is 1790745487

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY DALTON GOODWIN (M.D.)
NPI
1790745487
Phone
(256) 547-0433
Address
431 S 3RD ST
Enumeration Date
25 March 2006
Last Update Date
18 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565470433
Graduation Year
1999 (27 years ago)
PAC ID
3577749928
Group Practice PAC ID
7113231945
Professional Enrollment ID
I20110519000146
Address ID
AL359015210GA431XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

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Provider Addresses for JEREMY DALTON GOODWIN (M.D.)

  • 431, South 3rd Street, Gadsden, Etowah County, Alabama, 35901, United States

    GADSDEN, AL 359015210

    Phone: (256) 547-0433

    Fax: (256) 547-0460

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110519000146IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes253169$0
99213Established patient office or other outpatient visit, 20-29 minutes237147$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit126126$0
G0444Annual depression screening, 5 to 15 minutes123123$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9522$0
View full utilization report →

Insurance plans in this area (ZIP 35901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113231945View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerTX
Internal MedicineTN
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineAL
Diagnostic RadiologyAL
Nurse PractitionerAL
-AL
Cardiovascular Disease (Cardiology)AL
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is JEREMY DALTON GOODWIN (M.D.)'s NPI number?
JEREMY DALTON GOODWIN (M.D.)'s NPI is 1790745487 — the number used across U.S. healthcare to identify this provider.
Is JEREMY DALTON GOODWIN (M.D.) still an active registrant?
JEREMY DALTON GOODWIN (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with JEREMY DALTON GOODWIN (M.D.)?
JEREMY DALTON GOODWIN (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JEREMY DALTON GOODWIN (M.D.)?
Travel planning: use Gadsden, Alabama as the reference point for JEREMY DALTON GOODWIN (M.D.), then confirm.
Does JEREMY DALTON GOODWIN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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