Gary Goudelock, MD
NPI 1457342461 · Pediatrics Physician · Greenville, SC
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Goudelock, MD is a Pediatrics Physician provider in Greenville, SC (NPI 1457342461).
Provider details
- NPI number
- 1457342461
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 10729 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2022-07-21
Frequently asked questions
- What is Gary Goudelock's NPI number?
- Gary Goudelock's National Provider Identifier (NPI) is 1457342461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Goudelock's specialty?
- Gary Goudelock is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Gary Goudelock located?
- Gary Goudelock's practice location on file with NPPES is 20 Medical Ridge Dr, Greenville, SC 29605-4267.
- What is Gary Goudelock's phone number?
- The practice phone number listed in the NPPES registry for Gary Goudelock is (864) 220-7270.
- Does Gary Goudelock accept Medicare?
- Gary Goudelock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Goudelock's NPI active?
- Yes — Gary Goudelock's NPI (1457342461) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.