ELIZABETH GOODWIN (APRN, FNP-C) – Family Nurse Practitioner, NPI 1043696172

ELIZABETH GOODWIN (APRN, FNP-C) is a healthcare provider. based in Forsyth, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. RN215448 (GA). The NPI Number for ELIZABETH GOODWIN (APRN, FNP-C) is 1043696172

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH GOODWIN (APRN, FNP-C)
NPI
1043696172
Phone
(478) 994-1010
Address
97 MARTIN LUTHER KING JR DR
Enumeration Date
30 July 2015
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789941010
Graduation Year
2015 (11 years ago)
PAC ID
1052625936
Group Practice PAC ID
6406911445
Professional Enrollment ID
I20150805009327
Address ID
GA310291648FO97XXXDRXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for ELIZABETH GOODWIN (APRN, FNP-C)

  • 97 MARTIN LUTHER KING JR DR

    FORSYTH, GA 310291648

    Phone: (478) 994-1010

    Fax: (478) 994-1080

    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)

CMS reports 19 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novo Nordisk Inc ($101).

Total Amount

$364

General + Research + Ownership

Payments

19

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-05

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
I20150805009327INurse PractitionerGATBD

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
36415Insertion of needle into vein for collection of blood sample6639$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5735$0
99214Established patient office or other outpatient visit, 30-39 minutes5437$0
99213Established patient office or other outpatient visit, 20-29 minutes3931$0
81003Automated urinalysis test1916$0
View full utilization report →

Insurance plans in this area (ZIP 31029)

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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: 6406911445View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Internal Medicine, Geriatric MedicineGA

Reviews

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Frequently asked questions

What number should I use to identify ELIZABETH GOODWIN (APRN, FNP-C) for billing?
Administrative and clinical systems typically use NPI 1043696172 for ELIZABETH GOODWIN (APRN, FNP-C).
Quick check: is ELIZABETH GOODWIN (APRN, FNP-C) active?
Public NPPES data shows ELIZABETH GOODWIN (APRN, FNP-C) with an active NPI status right now.
Which specialty label fits ELIZABETH GOODWIN (APRN, FNP-C)?
NPPES ties ELIZABETH GOODWIN (APRN, FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELIZABETH GOODWIN (APRN, FNP-C)?
ELIZABETH GOODWIN (APRN, FNP-C) is associated with Forsyth, Georgia in the same public data insurers reference.
Who maintains ELIZABETH GOODWIN (APRN, FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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