MARY CATHERINE GOODWIN (M.D.) – Surgery Physician, NPI 1083873715

MARY CATHERINE GOODWIN (M.D.) is a healthcare provider. based in Marietta, Georgia. specializing in GENERAL SURGERY, SURGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 66295 (GA). The NPI Number for MARY CATHERINE GOODWIN (M.D.) is 1083873715

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MARY CATHERINE GOODWIN (M.D.)
NPI
1083873715
Phone
(770) 428-4486
Address
702 CANTON RD NE
Enumeration Date
6 June 2008
Last Update Date
16 July 2015

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704284486
Graduation Year
2005 (21 years ago)
PAC ID
6204007818
Group Practice PAC ID
9931180098
Professional Enrollment ID
I20110912000286
Address ID
GA300626227MA3747XRDXX317
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for MARY CATHERINE GOODWIN (M.D.)

  • 702, Canton Road Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300607271

    Phone: (770) 428-4486

    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 9 Open Payments records for all available years, with a total value of $606.

Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Endomagnetics Ltd ($427).

Total Amount

$606

General + Research + Ownership

Payments

9

Total payment records

General Amount

$606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-09-12

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
I20110912000286IGeneral SurgeryGATBD

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
76642Limited ultrasound scan of 1 breast635456$0
99213Established patient office or other outpatient visit, 20-29 minutes602495$0
99214Established patient office or other outpatient visit, 30-39 minutes11593$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99204New patient office or other outpatient visit, 45-59 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 9931180098View full group profile
NameSpecialtyState
General SurgeryTN
General SurgeryGA
General SurgeryGA

Reviews

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Frequently asked questions

Is MARY CATHERINE GOODWIN (M.D.) listed with a National Provider Identifier?
Yes — MARY CATHERINE GOODWIN (M.D.) has NPI 1083873715 on file in the registry.
Is there an active status for MARY CATHERINE GOODWIN (M.D.)?
For scheduling context, MARY CATHERINE GOODWIN (M.D.) is shown as active in the registry.
What expertise is attributed to MARY CATHERINE GOODWIN (M.D.)?
MARY CATHERINE GOODWIN (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MARY CATHERINE GOODWIN (M.D.) associated with Marietta?
Public fields place MARY CATHERINE GOODWIN (M.D.) around Marietta, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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