| Brandon Goldsmith, FNP | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-5452 | |
| (601) 815-3322 |
| Full Name | Brandon Goldsmith |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 2500 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376950204 | NPI | - | NPPES |
| 04586367 | Medicaid | MS | |
| P01454795 | Other | MS | RAILROAD MEDICARE PTAN |
| 178296 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R882781 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharkey Issaquena Community Hospital | Rolling fork, MS | Hospital |
| Holmes County Hospital And Clinics | Lexington, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grenada Emergency Group, Llc | 2163854225 | 37 |
| Sharkey Issaquena Community Hospital | 1759283039 | 10 |
| Wcs Professional Services Of Mississippi, Llc | 3476790502 | 3 |
| Entity Name | Sharkey Issaquena Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20040126000869 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Entity Name | Keystone Medical Services of MS Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | State of Mississippi-university of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Wcs Professional Services of Mississippi, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265785455 PECOS PAC ID: 3476790502 Enrollment ID: O20130509000499 |
| Entity Name | App of Mississippi Ed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Grenada Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
| Entity Name | Quitman Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063177228 PECOS PAC ID: 7012306830 Enrollment ID: O20220107001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Goldsmith, FNP 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5452 | Brandon Goldsmith, FNP 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5452 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 |
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580 |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 |