| Kenneth E. Goolsby, Md & Associates, Pc | |
|
200 S Enota Dr Ne Suite 300 Gainesville GA 30501-3473 | |
| (770) 534-8832 | |
| (770) 531-7479 |
| Full Name | Kenneth E. Goolsby, Md & Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 200 S Enota Dr Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Stephanie Lacy (PRACTICE ADM.) |
| Authorized Official Contact | 7705348832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E. Goolsby, Md & Associates, Pc 200 S Enota Dr Ne Suite 300 Gainesville GA 30501-3473 Ph: (770) 534-8832 | Kenneth E. Goolsby, Md & Associates, Pc 200 S Enota Dr Ne Suite 300 Gainesville GA 30501-3473 Ph: (770) 534-8832 |
| NPI Number | 1215942875 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123016151 |
|---|---|
| Medicare Enrollment ID | O20040506000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215942875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ann M Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508903717 PECOS PAC ID: 1850293382 Enrollment ID: I20040123000900 |
| Provider Name | Kenneth Goolsby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366457012 PECOS PAC ID: 6002868601 Enrollment ID: I20100804000442 |
| Provider Name | Nicole J Krummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043737182 PECOS PAC ID: 9537590435 Enrollment ID: I20200508002006 |
Dr Jenny Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2208 Avonlea Way, Gainesville, GA 30504 Phone: 770-540-9084 | |
Family Recovery Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Grove Street, Gainesville, GA 30501 Phone: 770-535-1073 Fax: 770-287-1931 | |
Lisa A. Wirth, Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 500 Spring St Se, Suite 201, Gainesville, GA 30501 Phone: 770-535-2497 Fax: 770-535-2498 | |
Georgia Mountains Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2318 Browns Bridge Rd, Gainesville, GA 30504 Phone: 678-207-1600 | |
Robyn J. Hans, Psy.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2565 Thompson Bridge Rd, Suite 206, Gainesville, GA 30501 Phone: 770-536-1360 Fax: 770-536-1316 | |
Arc Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 Mcever Rd Ste 101, Gainesville, GA 30504 Phone: 770-758-4940 Fax: 470-778-3705 | |
Melanie Burt And Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 311 Green St Nw Ste 405, Gainesville, GA 30501 Phone: 770-534-9100 Fax: 770-534-9104 |