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

Jennifer Goddard, MD

Individual provider Family Medicine Physician · NPI 1124257282

Jennifer Goddard, MD is a Family Practice in Prescott, Arizona. Graduated from University of South Carolina School of Medicine in 2012, 14 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and South Carolina.

Years since qualifying
14
Trained at
University of South Carolina School of Medicine
Licensed in
AZ, SC
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 Gail Gardner Way Ste 100
Prescott, AZ 86305-1631
Phone: (928) 777-0700
Fax: (928) 445-4464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 Gail Gardner Way Ste 300, Prescott, AZ 86305-1640 — (928) 717-5232

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 63630 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 32040 (SC)

Record details

NPI number1124257282
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2009
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing addressPo Box 10880, Prescott, AZ 86304-0880

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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