Active NPI
Jason Bryant Goolsby, DO
- Family Medicine Physician
- Brownsville, TN
National Provider Identifier
1801925938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1891
- Practice address
- 2290 N Washington Ave
Brownsville, TN 38012-1607 - Phone
- (731) 772-5183
- Fax
- (731) 772-2781
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1891 | TN | Primary |
Addresses
Primary practice location
2290 N Washington Ave
Brownsville, TN 38012-1607
Mailing address
2290 N Washington Ave
Brownsville, TN 38012-1607
Phone (731) 772-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091111000020 | TN | Practitioner - Family Practice | 9931247053 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO1891 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brownsville Family Medicine, PA | Family Medicine | Current | Accepting new patients |
Locations
2290 N Washington Ave
Brownsville, TN 38012
Phone (731) 772-5183
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Brownsville Family Medicine, PA | Rural health clinic | General Partnership Interest (50%) W-2 Managing Employee |
May 10, 2018 May 10, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Brownsville, TN
- NPI 1689640724
General Partnership Interest, W-2 Managing Employee
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Brownsville, TN
- NPI 1689640724
Family Medicine, TN
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- MC Kenzie, TN
- NPI 1750329181
Hospice
-
- General Acute Care Hospital
- Brownsville, TN
- NPI 1720672934
Hospital
-
- Home Health Agency
- Jackson, TN
- NPI 1851349559
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital
-
- Home Health Agency
- Jackson, TN
- NPI 1932355997
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brownsville Family Medicine, PA
Practice addresses (Care Compare)
2290 N Washington Ave
Brownsville, TN 38012-1607
2290 N Washington St
Brownsville, TN 38012-1607
Phone (731) 772-5183
Hospital & facility affiliations
- Amedisys Home Health Care
- Medical Center Home Health LLC
- Beacon Hospice
- Amedisys Hospice, an Adventa Company
- Amedisys Hospice Care
- Jackson-Madison County General Hospital
- Haywood County Community Hospital
- Baptist Memorial Hospital Tipton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1801925938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 N WASHINGTON AVE",
"city": "BROWNSVILLE",
"state": "TN",
"postal_code": "380121607",
"telephone_number": "731-772-5183",
"fax_number": "731-772-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 N WASHINGTON AVE",
"city": "BROWNSVILLE",
"state": "TN",
"postal_code": "380121607",
"telephone_number": "731-772-5183",
"fax_number": "731-772-2781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOLSBY",
"first_name": "JASON",
"middle_name": "BRYANT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO1891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.