Susan Lynn Goldsmith, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN211812 Issued in GA

Practice address

102 Lakeshore Dr Ste B
Saint Marys, GA 31558-3875

Phone

(912) 576-7546

Fax

(912) 576-2348

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: susan.fricke.1@16910.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Wellness Family Medicine LLC

  • Primary Care Clinic/Center
  • Saint Marys, GA
  • NPI 1235632449

  FL, GA

  Medicare reassignment
• Midwest Emergency Associates de Paul LLC

  • Emergency Medicine Physician
  • Bridgeton, MO
  • NPI 1265479448

  Emergency Medicine

  NPD (past)
• Simplywell Specialty Pharmacy LP

  • Community/Retail Pharmacy
  • Yulee, FL
  • NPI 1619458981
  NPD (past)
• Southeastern Emergency Services of Memphis, P.C.

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1164454450

  Emergency Medicine

  NPD (past)
• TH Contracting Services of Missouri

  • Emergency Medicine Physician
  • Poplar Bluff, MO
  • NPI 1174570055

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1124061700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LAKESHORE DR STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583875",
            "telephone_number": "912-576-7546",
            "fax_number": "912-576-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LAKESHORE DR STE B",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583875",
            "telephone_number": "912-576-7546",
            "fax_number": "912-576-2348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5211 S Fletcher Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320345375",
            "country_code": "US",
            "telephone_number": "912-576-7546",
            "fax_number": "912-576-2348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN211812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN211812",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN211812",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RN211812",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9331191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CoastalWellnessFamilyMedicine.com",
            "affiliation": "Y",
            "endpointDescription": "Website",
            "affiliationName": "Coastal Wellness Family Medicine",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "General Information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "102 Lakeshore Dr Ste B",
            "city": "Saint Marys",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315583875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.fricke.1@16910.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Lakeshore Dr Ste B",
            "city": "Saint Marys",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315583875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.fricke.1@16910.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena Health Direct Endpoint",
            "affiliationName": "Coastal Wellness Family Medicine LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Lakeshore Dr Ste B",
            "city": "Saint Marys",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315583875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Caitlin Elizabeth Glaze
• Jessica L Godbey, APRN
• Jessica Goldstein, RBT
• Elissa Michelle Gonzalez-Ogonowski
• Grace Family Healthcare
• Leticia T Graham, MSH, MPH, MSPC, LAPC
• Jenna C Graziano, OTR/L

• All providers in Saint Marys, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.