SHANNON L GOLDSMITH D.O.
NPI 1477748648
Family Medicine in Ellisville, MS

Q: What is Shannon Goldsmith's NPI number?

The NPI number for Shannon Goldsmith is 1477748648. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Q: What is Shannon Goldsmith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Goldsmith was last updated on July 9, 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.

Active since September 11, 2007PECOS EnrolledAccepts Medicare Assignment

822 MAIN ST, ELLISVILLE, MS 39437(601) 477-2014(601) 477-9942 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Aug 23, 2016, Aug 16, 2016 (3 updates tracked since 2016).

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About Shannon L Goldsmith D.o. NPPES

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

SHANNON L GOLDSMITH D.O. (NPI 1477748648) is an individual family medicine provider in Ellisville, Mississippi, licensed in Mississippi (24285) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1477748648

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHANNON L GOLDSMITHCredential: D.O.

Location Address822 MAIN STEllisville, MS 39437-2425

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 477-2014 · Fax (601) 579-5240

Phone(601) 477-2014

Fax(601) 477-9942

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2007

Enumeration DateSeptember 11, 2007

Last NPPES UpdateJuly 9, 20203 updates tracked since enumeration

NPPES CertifiedJuly 9, 2020

✔ NPI 1477748648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MS · 24285✔ Licensed in OH · 34009767

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

822 MAIN ST, Ellisville, MS 39437

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Other Identifiers 4

Medicaid07854358MS

Medicaid0236248OH

Medicaid3056277OH

Other12114080OH · Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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

Shannon L Goldsmith D.o. 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 ID4486786936

PECOS Enrollment IDI20160407001390

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 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

572 services299 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

299 services47 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

243 services174 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

178 services178 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

152 services119 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

107 services105 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

96 services94 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

68 services25 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

52 services45 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

51 services49 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

39 services19 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

21 services21 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250078

Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39437 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers31 claims65 services$5.86 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers14 claims14 services$1.08 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers34 claims34 services$16.81 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier25 claims25 services$7.02 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers34 claims34 services$83.90 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims756 services$0.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HATTIESBURG CLINIC PA

Family Medicine

822 MAIN ST
ELLISVILLE, MS 39437

Jones County (601) 477-2014

JOSEPH R DANFORD MD

Family Medicine

822 MAIN ST
ELLISVILLE, MS 39437

Jones County (601) 477-2014

WILLIAM CURRIE M.D.

Family Medicine

822 MAIN ST
ELLISVILLE, MS 39437

Jones County (601) 477-2014

ADAM T PURVIS DO

Family Medicine

822 MAIN ST
ELLISVILLE, MS 39437

Jones County (601) 477-2014

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 Shannon Goldsmith's NPI number?

The NPI number for Shannon Goldsmith is 1477748648. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Shannon Goldsmith located?

Shannon Goldsmith practices at 822 Main St, Ellisville, MS 39437. The listed phone number is (601) 477-2014.

What is Shannon Goldsmith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Goldsmith enrolled in Medicare?

Yes. Shannon Goldsmith 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 Shannon Goldsmith accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Shannon Goldsmith 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 Shannon Goldsmith affiliated with any hospitals?

According to CMS data, Shannon Goldsmith is affiliated with Forrest General Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Goldsmith was last updated on July 9, 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.