Look up the most recent NPI and PECOS records

Kathleen Bess Goodson

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174

PECOS Enrollment

This provider is enrolled in PECOS as KATHLEEN GOODSON.

Based on the most recent information from CMS, provider Kathleen Bess Goodson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1326603549
Provider Type
Individual
Full Name
Goodson, Kathleen Bess
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
5/2/2019
Last Updated
7/17/2024

Contact Information

Practice Location

7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, NC 28277-3174

(704) 446-0391

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-09081 North Carolina

Kathleen Bess Goodson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Seegers, Jeffrey Allen

Griffith, Christina Leung

Hayes, Kathleen

Kenney, Ethan Raymond

Neagle, Paul Everette

Hutchinson, Sabrina Renee

Powers, Christopher R

Ciovacco, Emily C

Bullard, Christina Marie

Bevins, Melissa Haikal