Adam Brock Goforth
Adam Brock Goforth is a Nurse Practitioner in Anna, Illinois. Qualified in 2024, 2 years ago. Practices with Rural Health, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 2
- Licensed in
- IL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
513 N Main StAnna, IL 62906-1697
Phone: (618) 833-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 209.030398 (IL) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 041.505508 (IL) |
Record details
| NPI number | 1356173124 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 19, 2024 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | November 15, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Rural Health, Inc. — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Anna
-
Claripath Psychiatry PLLC
330 S Main St, Anna, IL 62906-1242 · (618) 270-7879
-
Krysten Ann Green, MSN, APRN
800 N Main St, Anna, IL 62906-1665 · (618) 833-4456
-
Kathy A Willenborg, RN, PMHNP-BC
1000 N Main St, Anna, IL 62906-1652 · (618) 202-6441