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NPI · 1295711240 · NPPES-sourced

Jerry Goddard M.D.

ActiveFamily Medicine
NPI Number
1295711240
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(618) 536-6621
License IL · 036-054846
Last Updated
Enumerated
Primary practice addressIL · 62901-1474
305 W Jackson St, Ste 200Carbondale, IL 62901-1474
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About this NPIWhat this record shows.

NPI 1295711240 is registered to Jerry Goddard M.D., a Family Medicine practising at 305 W Jackson St, Ste 200 in Carbondale, Illinois. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Jerry Goddard M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jerry Goddard M.D. accepts. To confirm in-network status with your specific health plan, contact Jerry Goddard M.D. directly at (618) 536-6621.

Frequently asked

Yes. NPI 1295711240 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (618) 536-6621.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jerry Goddard M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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4 records · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Illinois.

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