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

Gwenda Faye Goggin, PA

Individual provider Medical Physician Assistant · NPI 1811943780

Gwenda Faye Goggin, PA is a Medical Physician Assistant in Tupelo, Mississippi. Works from 2 locations. Licensed in Mississippi and Virginia.

Licensed in
MS, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-6608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7200 Glen Forest Dr Ste 106, Richmond, VA 23226-3768 — (804) 495-0053

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110840426 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110840426 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA078 (MS)

Record details

NPI number1811943780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESMarch 7, 2023
Certification dateJanuary 6, 2020

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