Organization Active NPI

Jacqueline Goldsmith Phillips PLLC

Doing business as Phillips Healthcare

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1427736024
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JACQUELINE GOLDSMITH PHILLIPS PLLC
Doing business as
Phillips Healthcare
Phillips Medical Clinic
Practice address
4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152
Phone
(479) 242-9797
Fax
(479) 242-9751
NPI assigned
Jul 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Jacqueline Goldsmith Phillips, APRN-CNPNPI 1356502710
Title
Owner
Phone
(479) 242-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152

Mailing address

4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152
Phone (479) 242-9797

Other names 2

  • Phillips Healthcare Doing business as
  • Phillips Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231024003745 AR Part B Supplier - Clinic/Group Practice 3476909680 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

613 Lexington Ave
Fort Smith, AR 72901
Phone (479) 242-9797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1427736024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 46",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-242-9797",
            "fax_number": "501-747-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 46",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-242-9797",
            "fax_number": "479-242-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE GOLDSMITH PHILLIPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "GOLDSMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-242-9797",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phillips Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phillips Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.