Physician Assistant, Medical
Mr. LEDONTRAE GOODEN PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528607272 · enumerated 2019-12-28 · record updated 2024-01-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 6600 VAN AALST BLVD, FORT MOORE, GA, 31905-2102 (916) 385-1006 Google Maps Apple Maps OpenStreetMap
- Mailing address 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA, 31905-2102 (916) 385-1006 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary
- Driver 172A00000X
In this directory
GA Chattahoochee County Fort Moore Physician Assistant, Medical
Locations and evidence
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Practice location
FORT MOORE, GA, 319052102
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.