WILLIAM LACY GOFF JR. NP
NPI 1073469722
Nurse Practitioner - Family in Gulfport, MS
About William Lacy Goff Jr. Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM LACY GOFF JR. NP (NPI 1073469722) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (908241) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William Lacy Goff Jr. Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show William Goff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William Goff's NPI number?
The NPI number for William Goff is 1073469722. It was assigned to this individual provider in the NPPES registry on March 5, 2026.
Where is William Goff located?
William Goff practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 575-2020.
What is William Goff's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is William Goff enrolled in Medicare?
Yes. William Goff is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for William Goff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Goff reassigns Medicare benefits to Memorial Hospital At Gulfport (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Goff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Goff accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list William Goff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is William Goff affiliated with any hospitals?
According to CMS data, William Goff is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for William Goff was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# William Lacy Goff Jr., NP · NPI 1073469722
Family physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since March 5, 2026.
## Identity
- **NPI:** 1073469722 (Entity type: Individual)
- **Enumerated:** March 5, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 908241 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 13TH ST, Gulfport, MS 39501-2515
- **Phone:** (228) 575-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Hospital At Gulfport (NPI 1073606901, Gulfport, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073469722) · Data from the CMS NPPES public registry.