JEREMY T GOODWIN (MD) – Internal Medicine Physician, NPI 1639384407

JEREMY T GOODWIN (MD) is a healthcare provider. based in Forsyth, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 059416 (GA). The NPI Number for JEREMY T GOODWIN (MD) is 1639384407

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY T GOODWIN (MD)
NPI
1639384407
Phone
(478) 994-1010
Address
97 MARTIN LUTHER KING JR DR
Enumeration Date
14 May 2007
Last Update Date
16 September 2013

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4789941010
Graduation Year
2004 (22 years ago)
PAC ID
3779684527
Group Practice PAC ID
6406911445
Professional Enrollment ID
I20070723000752
Address ID
GA310291648FO97XXXDRXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for JEREMY T GOODWIN (MD)

  • 97, Martin Luther King Jr Drive, Forsyth, Monroe County, Georgia, 31029, United States

    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 21 Open Payments records for all available years, with a total value of $401.

Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Novo Nordisk Inc ($81).

Total Amount

$401

General + Research + Ownership

Payments

21

Total payment records

General Amount

$401

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: 2007-07-23

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
I20070723000752IFamily PracticeGATBD

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
J0897Injection, denosumab, 1 mg1,44013$0
99213Established patient office or other outpatient visit, 20-29 minutes439256$0
36415Insertion of needle into vein for collection of blood sample430257$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month34851$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count299230$0
View full utilization report →

Insurance plans in this area (ZIP 31029)

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Provider's Procedures

JEREMY T GOODWIN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA20610Aspiration and/or injection of large joint or joint capsule2011

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
Nurse PractitionerGA
Internal Medicine, Geriatric MedicineGA

Reviews

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Frequently asked questions

Does JEREMY T GOODWIN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JEREMY T GOODWIN (MD) uses 1639384407.
Does CMS list JEREMY T GOODWIN (MD) as active?
Yes — JEREMY T GOODWIN (MD) is active in the NPI listing used on this page.
What healthcare role does JEREMY T GOODWIN (MD) hold?
Scheduling teams often label JEREMY T GOODWIN (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JEREMY T GOODWIN (MD) based?
JEREMY T GOODWIN (MD) is tied to Forsyth, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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