Rocelious Goodson III, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601004396 Issued in MI

Practice address

Trinity Health Iha Medical Group, Hepatobiliary & Pancr
44555 Woodward Ave Ste 507
Pontiac, MI 48341

Phone

(248) 287-7820

Fax

(248) 287-7821

NPI assigned

Dec 4, 2006

Last updated

Nov 6, 2026By 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgoodson1457057@epic00.shdirect.org

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.

• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment Care Compare group
• Preferred Visiting Physicians, PC

  • Medical Physician Assistant
  • Westland, MI
  • NPI 1649592817
  NPD Authorized official
• CC Griggs Holding, LTD.

  • Nephrology Physician
  • Detroit, MI
  • NPI 1114024486
  Medicare reassignment
• Everett V Bryant MD PLLC

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1306992201
  Medicare reassignment
• Leonard Ellison Jr MD PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1609821537
  Medicare reassignment
• Nardin Park Recovery Center,Inc.

  • Methadone Clinic
  • Detroit, MI
  • NPI 1033251269
  Medicare reassignment
• Fine Touch Home Care Inc

  • Home Health Agency
  • Southfield, MI
  • NPI 1548335755
  NPD (past)
• Laz Medical Group PC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Southfield, MI
  • NPI 1053310128

  Medical

  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1992863872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRINITY HEALTH IHA MEDICAL GROUP, HEPATOBILIARY & PANCR",
            "address_2": "44555 WOODWARD AVE STE 507",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-287-7820",
            "fax_number": "248-287-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "ROCELIOUS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racheal Gonzalez
• Good Day Counseling LLC
• Good Samaritan Helping Hands
• Beverly Goodman, DDS
• Judie R. Goodman, DO
• Andrew P Gordon
• Lisa Gordon, LMSW
• William Henry Gordon, M.D.
• Carol Goubeaux, P.T.
• Kanika Goyal

• Medical Physician Assistant in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; 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.