NPIMap

Individual provider Active NPI

John David Goolsby, DC

  • Chiropractor
  • Apollo Beach, FL
National Provider Identifier
1194780601
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3001 Issued in SC
Practice address
556 Florida Cir S
Apollo Beach, FL 33572-2531
Phone
(864) 350-5974
NPI assigned
Apr 18, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10161 FL
Chiropractor 111N00000X 3001 SC Primary

Addresses

Primary practice location

556 Florida Cir S
Apollo Beach, FL 33572-2531

Mailing address

556 Florida Cir S
Apollo Beach, FL 33572-2531
Phone (864) 350-5974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3001SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Injury Relief Center of South Louisville Chiropractic & Rehab Current Accepting new patients
Popwell Scota Spine Center Chiropractor Past Accepting new patients
Chiropractic Center of Greater Greenville Chiropractor PastSince Dec 9, 2005 Accepting new patients
Eastside Chiropractic, PA Chiropractor PastSince Jan 24, 1995 Accepting new patients
Americas Chiropractic & Wellness Centers, LLC Chiropractor PastSince May 5, 2015 Accepting new patients
John D. Goolsby, DC LLC Chiropractor Past Accepting new patients

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1194780601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 FLORIDA CIR S",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722531",
            "telephone_number": "864-350-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 FLORIDA CIR S",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722531",
            "telephone_number": "864-350-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10161",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.