MR. PHILLIP DANIEL GOLDSBOROUGH
NPI 1750081550
Nurse Practitioner - Psychiatric/Mental Health in Princess Anne, MD
About Mr. Phillip Daniel Goldsborough NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PHILLIP DANIEL GOLDSBOROUGH (NPI 1750081550) is an individual psychiatric/mental health provider in Princess Anne, Maryland, licensed in Maryland (R193305) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and maintains a secondary practice location in Salisbury.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Phillip Daniel Goldsborough 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.
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Goldsborough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princess Anne, MD 21853
- Reassigned Medicare billing, Maryland enrollment
- 121 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of MD Capital Region Medical Center
Acute Care Hospitals · Upper Marlboro, MDTidalhealth Peninsula Regional, Inc
Acute Care Hospitals · Salisbury, MDMedstar Saint Mary's Hospital
Acute Care Hospitals · Leonardtown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21853 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PRINCESS ANNE, MD 21853
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 Phillip Goldsborough's NPI number?
The NPI number for Phillip Goldsborough is 1750081550. It was assigned to this individual provider in the NPPES registry on March 9, 2023.
Where is Phillip Goldsborough located?
Phillip Goldsborough practices at 12145 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-2204.
What is Phillip Goldsborough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Phillip Goldsborough enrolled in Medicare?
Yes. Phillip Goldsborough 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.
Which organizations bill Medicare for Phillip Goldsborough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Goldsborough reassigns Medicare benefits to 2 organizations: Three Lower Counties Community Services, Inc. (Princess Anne, MD) and Axis Healthcare Group (Silver Spring, MD). Each 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 Phillip Goldsborough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phillip Goldsborough affiliated with any hospitals?
According to CMS data, Phillip Goldsborough is affiliated with University Of MD Capital Region Medical Center, Tidalhealth Peninsula Regional, Inc and Medstar Saint Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Phillip Goldsborough was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Phillip Daniel Goldsborough · NPI 1750081550
Psychiatric/Mental Health physician in Princess Anne, Maryland. Individual provider, active in the CMS NPPES registry since March 9, 2023.
## Identity
- **NPI:** 1750081550 (Entity type: Individual)
- **Enumerated:** March 9, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R193305 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12145 ELM ST, Princess Anne, MD 21853-1358
- **Phone:** (410) 651-2204 · **Fax:** (410) 651-0790
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Three Lower Counties Community Services, Inc. (NPI 1154354744, Princess Anne, MD); Axis Healthcare Group (NPI 1326295098, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 31, 2024
- **Other identifiers:** Medicaid 119591300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1750081550) · Data from the CMS NPPES public registry.