Brandon Goldsmith, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R882781 Issued in MS

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 984-5452

Fax

(601) 815-3322

NPI assigned

Jul 11, 2014

Last updated

Mar 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grenada Emergency Group, LLCGroup PAC ID 2163854225, 37 clinicians

Sharkey Issaquena Community HospitalGroup PAC ID 1759283039, 10 clinicians

WCS Professional Services of Mississippi, LLCGroup PAC ID 3476790502, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharkey Issaquena Community Hospital Hospital, Rolling Fork, MS, CCN 250784
• Holmes County Hospital and Clinics Hospital, Lexington, MS, CCN 251319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bgoldsmith62557@ummc.direct-ci.com
• FHIR API: https://fhir.yourcareuniverse.net/tenant/f327cec7-4de5-4375-82d1-b7722f053133

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.

• Grenada Emergency Group, LLC

  • Emergency Medicine Physician
  • Grenada, MS
  • NPI 1194388082
  Medicare reassignment Care Compare group NPD
• Sharkey Issaquena Community Hospital

  • General Acute Care Hospital
  • Rolling Fork, MS
  • NPI 1013004795
  Medicare reassignment Care Compare group NPD
• WCS Professional Services of Mississippi, LLC

  • Nurse Practitioner
  • Metairie, LA
  • NPI 1265785455

  MS

  Medicare reassignment Care Compare group NPD
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• Kings Daughters Medical Center

  dba Kings Daughters Pro Anesthesia

  • Anesthesiology Physician
  • Brookhaven, MS
  • NPI 1043245368
  Medicare reassignment NPD
• Quitman Community Hospital

  • Critical Access Hospital
  • Marks, MS
  • NPI 1063177228
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• King's Daughters Medical Center

  dba King's Daughters Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Brookhaven, MS
  • NPI 1881476364
  NPD
• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  NPD
• Quitman Community Hospital

  dba Quitman Family & Specialty Clinic

  • Clinic/Center
  • Marks, MS
  • NPI 1346973625
  NPD
• Quitman Community Hospital

  dba Quitman Community Senior Care

  • Psychiatric Hospital Unit
  • Marks, MS
  • NPI 1841055308
  NPD

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

• Sharkey Issaquena Community Hospital

  • General Acute Care Hospital
  • Rolling Fork, MS
  • NPI 1013004795
  Care Compare affiliation
• State of Mississippi - University of Mississippi Medical Center

  dba Holmes County Hospital and Clinic

  • Critical Access Hospital
  • Lexington, MS
  • NPI 1386630705
  Care Compare affiliation

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1376950204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5452",
            "fax_number": "601-815-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5452",
            "fax_number": "601-815-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "BRANDON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R882781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04586367",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01454795",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178296",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Golden, CPNP-AC
• Michael Aaron Goldman
• Nancy Hope Goldman, APRN, BC
• Shenetta Goldman, F.N.P
• Matin Goldooz, MD
• Lawrence S Goldstein, MD
• Elise P Gomez Sanchez, DVM, PHD
• Celso E. Gomez-Sanchez, MD
• Fernando Gomez, M.D.
• Taillk Goncalves Gomes

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.