ABBY OZMENT GOOLSBY CRNP
NPI 1407328123
Nurse Practitioner - Adult Health in Pelham, AL

Active since December 19, 2018PECOS EnrolledAccepts Medicare Assignment
30 RACQUET CLUB PKWY, PELHAM, AL 35124(205) 620-1090(205) 620-1153 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2019, Dec 19, 2018 (2 updates tracked since 2018).

About Abby Ozment Goolsby Crnp NPPES

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

ABBY OZMENT GOOLSBY CRNP (NPI 1407328123) is an individual adult health provider in Pelham, Alabama, licensed in Alabama (1-148800) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1407328123
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameABBY OZMENT GOOLSBYCredential: CRNP
Location Address30 RACQUET CLUB PKWYPelham, AL 35124-6185
Mailing Address549 Edgecrest DrHomewood, AL 35209-5909 · (147) 827-9151
Fax(205) 620-1153
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateDecember 19, 2018
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPI 1407328123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in AL · 1-148800
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1-148800 (AL)
30 RACQUET CLUB PKWY, Pelham, AL 35124

Secondary Practice Location 1

Location 1500 22nd St SBirmingham, AL 35233-3110 · Phone (205) 801-8322

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

Abby Ozment Goolsby Crnp 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 ID6103166780
PECOS Enrollment IDI20190318002103
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35124 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 4

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

Family Medicine
30 RACQUET CLUB PKWY
PELHAM, AL 35124
Preventive Medicine (Occupational Medicine)
30 RACQUET CLUB PKWY
PELHAM, AL 35124
Family Medicine
30 RACQUET CLUB PKWY
PELHAM, AL 35124
Nurse Practitioner
30 RACQUET CLUB PKWY
PELHAM, AL 35124

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 Abby Goolsby's NPI number?

The NPI number for Abby Goolsby is 1407328123. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Where is Abby Goolsby located?

Abby Goolsby practices at 30 Racquet Club Pkwy, Pelham, AL 35124. The listed phone number is (205) 620-1090.

What is Abby Goolsby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Abby Goolsby enrolled in Medicare?

Yes. Abby 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.

When was this NPI record last updated?

The NPPES record for Abby Goolsby was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.