Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Weiching Goolsby, PA-C

Individual provider Medical Physician Assistant · NPI 1144786237

Marissa Weiching Goolsby, PA-C is a Physician Assistant in Tucker, Georgia. Qualified in 2019, 7 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4650 Hugh Howell Rd Ste 510
Tucker, GA 30084-5031
Phone: (678) 956-8630
Fax: (678) 956-8634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1113 Natchez Pt Apt 93, Memphis, TN 38103-0927 — (904) 347-8711
  • 2595 Central Ave, Memphis, TN 38104-5905 — (901) 842-3160
  • 3481 Austin Peay Hwy, Memphis, TN 38128-3801 — (901) 842-3165

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11151 (GA)
Medical Physician Assistant Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144786237
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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