MARISSA WEICHING GOOLSBY (PA-C) – Physician Assistant, NPI 1144786237
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MARISSA WEICHING GOOLSBY (PA-C)
1113 NATCHEZ PT APT 93
MEMPHIS, TN 381030927
Phone:
Type: Mailing
2476 RIDGEFIELD TER
DECATUR, GA 300334211
Phone: (904) 347-8711
Type: Mailing
2595 Central Ave
Memphis, TN 381045905
Phone: (901) 842-3160
Type: Location
1113 Natchez Pt Apt 93
Memphis, TN 381030927
Phone: (904) 347-8711
Type: Location
3481 Austin Peay Hwy
Memphis, TN 381283801
Phone: (901) 842-3165
Fax: (901) 842-2365
Type: Location
3481, Austin Peay Highway, Raleigh, Memphis, Shelby County, Tennessee, 38128, United States
MEMPHIS, TN 381283801
Phone: (901) 842-3165
Fax: (901) 842-2365
Type: Location
4650 HUGH HOWELL RD STE 510
TUCKER, GA 300845031
Phone: (678) 956-8630
Fax: (678) 956-8634
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220920003688 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 130 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 99 | 99 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 93 | 45 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 53 | 51 | $0 |
| 81002 | Urinalysis, manual test | 46 | 43 | $0 |
Insurance plans in this area (ZIP 38103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine, Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| - | GA | |
| Physician Assistant | GA |
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