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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477172740

Johanna Rennhack Goodwin, PA is a Physician Assistant in Lillington, North Carolina. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Licensed in
SC
In the registry since
2020
Specialties on file
2
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

4350 US 421 S
Lillington, NC 27546-6760
Phone: (910) 893-1210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203-6896 — (803) 434-6771

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3689 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477172740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lillington