Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Goodside Health Medical, PLLC

Organization Family Medicine Physician · NPI 1386496636

Goodside Health Medical, PLLC is a Family Medicine Physician in Raleigh, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
7
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 Fayetteville St Ste 1-C
Raleigh, NC 27601-1309
Phone: (512) 884-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1386496636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerardo Reyes — Owner · (512) 884-5190
NPI enumeratedApril 2, 2024
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address1701 River Run Ste 302, Fort Worth, TX 76107-6547

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