NAKEYTA GOOLSBY PMHNP
NPI 1114599214
Nurse Practitioner - Psychiatric/Mental Health in Winston Salem, NC

Active since July 16, 2021PECOS EnrolledAccepts Medicare Assignment
4140 CHERRY ST, WINSTON SALEM, NC 27105(866) 272-7826 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 31, 2021, Jul 16, 2021 (2 updates tracked since 2021).

About Nakeyta Goolsby Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAKEYTA GOOLSBY PMHNP (NPI 1114599214) is an individual psychiatric/mental health provider in Winston Salem, North Carolina, licensed in North Carolina (GOOL-FO8WC) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114599214
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNAKEYTA GOOLSBYCredential: PMHNP
Location Address4140 CHERRY STWinston Salem, NC 27105-2536
Mailing Address350 Pee Dee Ave Ste 101Albemarle, NC 28001-4945 · (866) 272-7826
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 16, 2021
Last NPPES UpdateJuly 31, 20212 updates tracked since enumeration
NPPES CertifiedJuly 31, 2021
NPI 1114599214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · GOOL-FO8WC Licensed in NC · 2021028920
4140 CHERRY ST, Winston Salem, NC 27105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nakeyta Goolsby Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971992116
PECOS Enrollment IDI20211110000856
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Professional)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Addiction (Substance Use Disorder))
4140 CHERRY ST
WINSTON SALEM, NC 27105
Counselor (Mental Health)
4140 CHERRY ST
WINSTON SALEM, NC 27105
Community/Behavioral Health
4140 CHERRY ST
WINSTON SALEM, NC 27105

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 Nakeyta Goolsby's NPI number?

The NPI number for Nakeyta Goolsby is 1114599214. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Nakeyta Goolsby located?

Nakeyta Goolsby practices at 4140 Cherry St, Winston Salem, NC 27105. The listed phone number is (866) 272-7826.

What is Nakeyta Goolsby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nakeyta Goolsby enrolled in Medicare?

Yes. Nakeyta Goolsby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nakeyta Goolsby accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Nakeyta Goolsby 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.

When was this NPI record last updated?

The NPPES record for Nakeyta Goolsby was last updated on July 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.