Georgialee Gould, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP024682 Issued in PA

Practice address

503 Bridge St Ste 2
New Cumberland, PA 17070-1972

Phone

(717) 774-8400

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Green Hill Family Practice LLC

  • Internal Medicine Physician
  • New Cumberland, PA
  • NPI 1952813453
  Medicare reassignment NPD
• Green Hill Family Health Center

  • Non-Pharmacy Dispensing Site
  • New Cumberland, PA
  • NPI 1386888261
  NPD (past)

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1316602790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MOUNTAIN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122369",
            "telephone_number": "717-602-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BRIDGE ST STE 2",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170701972",
            "telephone_number": "717-774-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "GEORGIALEE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP024682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Ganger, PA-C
• Megan Gehman
• Samuel Frazer Getty, DC
• Kimberly Gingerich, RN
• Andrew David Gould, DMD
• Green Hill Family Health Center
• Green Hill Family Practice LLC
• Thomas L. Hanshaw, M.ED.
• Emily Hauser
• Lauryn Mabel Healy, CMD

• Primary Care Nurse Practitioner in New Cumberland, PA
• Providers in New Cumberland, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.