Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amber Goodman, PA-C

Individual provider Physician Assistant · NPI 1013305895

Amber Goodman, PA-C is a Physician Assistant in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with Kings Daughters Medical Center, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

970 Lakeland Dr Ste 61
Jackson, MS 39216-4634
Phone: (601) 982-7850
Fax: (601) 366-8507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 I-55 N Frontage Rd Ste 102, Jackson, MS 39212 — (601) 200-6872

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00345 (MS)

Record details

NPI number1013305895
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 2, 2015
Last updated in NPPESOctober 7, 2024
Certification dateOctober 3, 2024
Mailing address970 Lakeland Dr Ste 61, Jackson, MS 39216-4634

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kings Daughters Medical Center — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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