PHARNETHIA GOODMAN JACKSON (NP-C) – Family Nurse Practitioner, NPI 1124164173
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for PHARNETHIA GOODMAN JACKSON (NP-C)
2050 Hillpoint Blvd N
Suffolk, VA 234347181
Phone: (757) 934-3434
Fax: (757) 538-9038
Type: Location
Family Medicine Associates, 2050, Hillpoint Boulevard North, Red Top, Suffolk, Suffolk (city), Virginia, 23434, United States
SUFFOLK, VA 234347181
Phone: (757) 934-3434
Fax: (757) 538-9038
Type: Mailing
2760 GODWIN BLVD STE 100
SUFFOLK, VA 234348501
Phone: (757) 983-8650
Type: Mailing
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: 2007-04-20
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 |
|---|---|---|---|---|
| I20070420000289 | I | Nurse Practitioner | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 444 | 288 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 238 | 238 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 112 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 51 | 48 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 14 | 14 | $0 |
Insurance plans in this area (ZIP 23434)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | VA | 73562 | X-ray of knee, 3 views | 25 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | VA | |
| Nurse Practitioner | VA | |
| - | MI | |
| - | VA | |
| - | VA | |
| Pulmonary Disease, Internal Medicine | GA | |
| N E U R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | VA | |
| Family Practice | VA |
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