MR. ROCELIOUS GOODSON III PA-C
NPI 1992863872
Physician Assistant - Medical in Dearborn, MI

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
4241 MAPLE ST, SUITE 200 D, DEARBORN, MI 48126(313) 584-1940(313) 584-1945 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Rocelious Goodson Iii Pa-c NPPES

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

MR. ROCELIOUS GOODSON III PA-C (NPI 1992863872) is an individual medical provider in Dearborn, Michigan, licensed in Michigan (5601004396) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1992863872
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ROCELIOUS GOODSON IIICredential: PA-C
Location Address4241 MAPLE ST, SUITE 200 DDearborn, MI 48126-3826
Mailing Address5790 Newberry Estates DrWestland, MI 48185-8300 · (313) 850-6552
Fax(313) 584-1945
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 4, 2006
Last NPPES UpdateMay 27, 2008
NPI 1992863872 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 MI · 5601004396
4241 MAPLE ST, Dearborn, MI 48126

Accepted 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

Mr. Rocelious Goodson Iii Pa-c 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 ID8921103466
PECOS Enrollment IDI20070412000084
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.

Other Providers at the Same Location NPPES 5

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

General Practice
4241 MAPLE ST, SUITE 200C
DEARBORN, MI 48126
Family Medicine
4241 MAPLE ST, SUITE 250
DEARBORN, MI 48126
Physician Assistant
4241 MAPLE ST
DEARBORN, MI 48126
General Practice
4241 MAPLE ST
DEARBORN, MI 48126
Family Medicine
4241 MAPLE ST, SUITE 200D
DEARBORN, MI 48126

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 Rocelious Goodson's NPI number?

The NPI number for Rocelious Goodson is 1992863872. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Rocelious Goodson located?

Rocelious Goodson practices at 4241 Maple St Suite 200 D, Dearborn, MI 48126. The listed phone number is (313) 584-1940.

What is Rocelious Goodson's specialty?

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

Is Rocelious Goodson enrolled in Medicare?

Yes. Rocelious Goodson 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 Rocelious Goodson accept?

Health plans from McLaren Health Plan Community, Priority Health and UnitedHealthcare list Rocelious Goodson 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 Rocelious Goodson was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.