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

Amy Kay Goodman, PA-C

Individual provider Physician Assistant · NPI 1265865414

Amy Kay Goodman, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2013, 13 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2013
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

111 Marble Mill Rd NW
Marietta, GA 30060-1047
Phone: (770) 422-1013
Fax: (770) 514-5996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 35 Collier Rd Nw, Atlanta, GA 30309-1613 — (678) 725-2523
  • 2383 Pate St N, Snellville, GA 30078-3250 — (770) 972-4845

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006889 (GA)

Record details

NPI number1265865414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2013
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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