JENNIFER M GOLDBACH P.A.
NPI 1609884196
Physician Assistant - Medical in Rome, GA

Q: What is Jennifer Goldbach's NPI number?

The NPI number for Jennifer Goldbach is 1609884196. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Jennifer Goldbach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Goldbach was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 03, 2006PECOS Enrolled

304 TURNER MCCALL BLVD SW, ROME, GA 30165(706) 509-5000(706) 509-4608 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer M Goldbach P.a. NPPES

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

JENNIFER M GOLDBACH P.A. (NPI 1609884196) is an individual medical provider in Rome, Georgia, licensed in Georgia (003954) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609884196

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER M GOLDBACHCredential: P.A.

Location Address304 TURNER MCCALL BLVD SWRome, GA 30165-5621

Mailing Address420 E 2nd Ave, Suite 103Rome, GA 30161-3224 · (706) 509-3278 · Fax (706) 509-4608

Phone(706) 509-5000

Fax(706) 509-4608

Sole ProprietorNo

Enumeration DateAugust 3, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1609884196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 003954

304 TURNER MCCALL BLVD SW, Rome, GA 30165

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Other Identifiers 3

Medicare UPINP66419GA

Medicare ID-Type Unspecified97WCFXWGA · Medicare

Medicaid664271192AGA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Goldbach P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

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.

CHARLES BROWN NP

Nurse Practitioner (Neonatal)