Gwenda Faye Goggin, P.A.
NPI 1811943780ActiveIndividual· Physician Assistant· Tupelo, MS
Physician Assistant (P.A.) in Tupelo, Mississippi, licensed in VA and MS, with an NPI issued in May 2006.
Overview
| NPI | 1811943780 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110840426 | VA |
| Physician Assistant, Medical | 363AM0700X | 0110840426 | VA |
| Physician Assistant, Medical | 363AM0700X | PA078 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Tupelo
- 1336504778
- 1659123784
- 1750114732
- 1922422583
- 1174154652
- 1285591354
- 1568197788
- 1548628522
- 1033534391
- 1225451842
- 1982461794
- 1104655851