Payton Goss

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

907944 Issued in MS

Practice address

994 Bankhead Dr
Belzoni, MS 39038-3070

Phone

(662) 392-9961

NPI assigned

Nov 8, 2025

Last updated

Nov 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trest Mental Health, LLC

  • Psychiatry Physician
  • Brandon, MS
  • NPI 1881554681
  Medicare reassignment NPD
• Goss Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grenada, MS
  • NPI 1598696924
  NPD Authorized official

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

{
    "created_epoch": "1762560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1962372581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 COUNTY ROAD 115",
            "city": "CARROLLTON",
            "state": "MS",
            "postal_code": "389176874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 BANKHEAD DR",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383070",
            "telephone_number": "662-392-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "PAYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "907944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G a Carmichael Family Health Center Inc
• Gorton Lab and X-Ray, LLC
• Gorton Rural Health Clinic
• Sidney Carlton Gorton, MD
• Walter M Gorton, M.D.
• Grace Medical Lab LLC
• Hall Adult Senior Daycare LLC (Hall adult senior daycare)
• Tawana Hawkins
• Lakenya Mims Horton
• House Calls LLC

• Psychiatric/Mental Health Nurse Practitioner in Belzoni, MS
• Providers in Belzoni, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.