Ledontrae Gooden, PA-C
NPI 1528607272 · Medical Physician Assistant · Fort Moore, GA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ledontrae Gooden, PA-C is a Medical Physician Assistant provider in Fort Moore, GA (NPI 1528607272).
Provider details
- NPI number
- 1528607272
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Driver172A00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2400 Nw 24th StLincoln, NE 68524-1892Phone: (478) 542-0311Fax: (478) 352-0095
Registry dates
- Enumerated
- 2019-12-28
- Last updated
- 2024-01-22
- Certified
- 2024-01-22
Frequently asked questions
- What is Ledontrae Gooden's NPI number?
- Ledontrae Gooden's National Provider Identifier (NPI) is 1528607272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ledontrae Gooden's specialty?
- Ledontrae Gooden is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ledontrae Gooden located?
- Ledontrae Gooden's practice location on file with NPPES is 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102.
- What is Ledontrae Gooden's phone number?
- The practice phone number listed in the NPPES registry for Ledontrae Gooden is (916) 385-1006.
- Does Ledontrae Gooden accept Medicare?
- Ledontrae Gooden is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ledontrae Gooden's NPI active?
- Yes — Ledontrae Gooden's NPI (1528607272) is active in the NPPES registry as of the last update on 2024-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.