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Nichelle Gooden

Driver • Stone Mountain, GA

Active NPI 1730699208 Individual Practitioner Female Practitioner
Practice location in NPPES

1408 Colony East Cir
Stone Mountain, GA 300835407

Call 4049969335 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1408 Colony East Cir

Stone Mountain, GA 300835407

Telephone 4049969335
Fax 4049969335

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stone Mountain and Georgia

4 active clinicians are listed under Driver with a practice address in Stone Mountain, GA (277 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES GA 058242336

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History

NPI enumerated October 10, 2017.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1730699208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2017
Last Update: October 10, 2017
Sole Proprietor: Yes

Mailing Address

Po Box 381

Pine Lake, GA 300720381

Phone: 4049969335

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.