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KENNETH E. GOOLSBY, MD & ASSOCIATES, PC
NPI 1215942875
Psychiatry & Neurology - Psychiatry in Gainesville, GA

Active since July 30, 2006CLIA 11D2140579 · Waiver
200 S ENOTA DR NE, SUITE 300, GAINESVILLE, GA 30501(770) 534-8832(770) 531-7479 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth E. Goolsby, Md & Associates, Pc NPPES

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

KENNETH E. GOOLSBY, MD & ASSOCIATES, PC (NPI 1215942875) is a healthcare organization registered as a psychiatry in Gainesville, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists Stephanie Lacy, Practice Adm., as its authorized official.

NPPES Registry Identity

NPI1215942875
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameKENNETH E. GOOLSBY, MD & ASSOCIATES, PC
Location Address200 S ENOTA DR NE, SUITE 300Gainesville, GA 30501-3473
Mailing Address200 S Enota Dr Ne, Suite 300Gainesville, GA 30501-3473 · (770) 534-8832 · Fax (770) 531-7479
Phone(770) 534-8832
Fax(770) 531-7479
Organization SubpartNo
Authorized OfficialStephanie LacyPractice Adm. · (770) 534-8832
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215942875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
200 S ENOTA DR NE, Gainesville, GA 30501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth E. Goolsby, Md & Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kenneth E. Goolsby, MD & Associates, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kenneth Goolsby, M.D.
Psychiatry
NPI 1366457012
200 S ENOTA DR NE
Gainesville, GA 30501
(770) 534-8832
✔ PECOS✔ Accepts MedicareSame address
Ann Peck, FNP-C
Nurse Practitioner
NPI 1508903717
3720 DAVINCI COURT SUITE 400, EVERCARE OF GEORGIA
Norcross, GA 30092
(770) 300-3502
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2140579

Kenneth E Goolsby, MD & Associates · Gainesville, GA
Active · expires Nov 26, 2027
CLIA Number11D2140579
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorKenneth E. Goolsby
Laboratory Phone(770) 548-7032
Laboratory LocationKenneth E Goolsby, MD & Associates1990 Limestone Circle, Suite 110, Gainesville, GA 30501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kenneth E. Goolsby, MD & Associates, PC's NPI number?

The NPI number for Kenneth E. Goolsby, MD & Associates, PC is 1215942875. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Kenneth E. Goolsby, MD & Associates, PC located?

Kenneth E. Goolsby, MD & Associates, PC is located at 200 S Enota Dr NE Suite 300, Gainesville, GA 30501. The listed phone number is (770) 534-8832.

What is Kenneth E. Goolsby, MD & Associates, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kenneth E. Goolsby, MD & Associates, PC enrolled in Medicare?

Yes. Kenneth E. Goolsby, MD & Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth E. Goolsby, MD & Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kenneth E. Goolsby, MD & Associates, PC, in Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kenneth E. Goolsby, MD & Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2140579) is associated with this NPI, valid through November 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kenneth E. Goolsby, MD & Associates, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kenneth E. Goolsby, MD & Associates, PC 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 Kenneth E. Goolsby, MD & Associates, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.