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

Mr. Gregory Wayne Goodwin, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1043309669

Mr. Gregory Wayne Goodwin, PHYSICIANASSISTANT is a Physician Assistant in Forest City, North Carolina. Qualified in 1998, 28 years ago. Practices with Dlp Rutherford Physician Practices LLC, a 38-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
28
Licensed in
NC
In the registry since
2006

Practice location Address checks out

1269 US Highway 221A
Forest City, NC 28043-5921
Phone: (828) 657-5371
Fax: (828) 657-9190
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102644 (NC)

Record details

NPI number1043309669
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESFebruary 24, 2011
Mailing address1269 Us Highway 221a, Forest City, NC 28043-5921

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Dlp Rutherford Physician Practices Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Forest City