DR. MARY JO GOOLSBY (NPI# 1811993926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811993926 |
| Entity Type | Individual |
| Full Name | DR. MARY JO GOOLSBY |
| Credential | NP |
| Practice Address |
1350 Walton Way Augusta GA 30901-2612 |
| Mailing Address |
3421 Walton Way Augusta GA 30909-4532 |
| Practice Telephone | 7067748187 |
| Practice Fax Number | 7067745020 |
| Mailing Telephone | 7067290832 |
| Mailing Fax Number | 7067748187 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN060379 NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| 1245206242 | Mary Elizabeth Goolsby | Pathology | 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2006-02-28 |
| Street Address |
1350 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989810 | Trang Khanh Nguyen | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2629 | 2020-10-12 |
| 1245842152 | Margaret Anne Rossi | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2612 | 2020-08-21 |
| 1003445313 | Sarika Mishra | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2612 | 2020-04-07 |
| 1508491812 | Kyle Guderian | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2020-03-06 |
| 1982246070 | Aisha Ford | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-10-10 |
| 1588214977 | Alexander S Elsen | Physical Medicine & Rehabilitation | 1350 Walton Way, Augusta, GA 30901-2629 | 2019-09-17 |
| 1215599527 | Sherwin Goering | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-07-08 |
| 1417418807 | Christopher Brandon Walker | Student in an Organized Health Care Education/Training Program | 1350 Walton Way, Augusta, GA 30901-2612 | 2019-03-27 |
| 1205309333 | Rachel Ann Shaver | Registered Nurse | 1350 Walton Way, Augusta, GA 30901-2629 | 2019-01-11 |
| 1578038915 | Lisa Rene'e Carpenter | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2629 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| 1316113913 | Jenny Lee Charles | Nurse Practitioner | 711 4th St, Augusta, GA 30901-2403 | 2008-05-03 |
| 1649330622 | Laurie Ann Conn | Nurse Practitioner | 3092 Leaflet Way, Augusta, GA 30909-1714 | 2006-12-11 |
| 1528098225 | Azerlea Bryant | Nurse Practitioner | 1 Togus Circle, 107f, Augusta, ME 04330-9929 | 2006-07-05 |
| 1669030995 | Vicki Scott | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2019-06-01 |
| 1346714524 | Daniel Haynia | Nurse Practitioner | 987 Saint Sebastian Way, Augusta, GA 30912-2613 | 2019-01-22 |
| 1912471731 | Krista Lee Vernon | Nurse Practitioner | 1120 15th St # 6518, Augusta, GA 30912-0004 | 2019-01-15 |
| 1073054813 | Regina Clark Canty | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-5887 | 2017-03-13 |
| 1508301649 | Ma Victoria Aquino Khera | Nurse Practitioner | 2467 Golden Camp Rd, Augusta, GA 30906-5515 | 2016-12-28 |
| 1659726917 | Veronica Sampson | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-4035 | 2016-04-24 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.