Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Teri Rene Goodhart, PA-C

Individual provider Physician Assistant · NPI 1285175521

Teri Rene Goodhart, PA-C is a Physician Assistant in Blacksburg, Virginia. Qualified in 2016, 10 years ago. Practices with Kingsford Emergency Group, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2017
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

3700 S Main St
Blacksburg, VA 24060-7017
Phone: (540) 951-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005707 (VA)

Record details

NPI number1285175521
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kingsford Emergency Group, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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