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

Mr. Phillip Daniel Goldsborough

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1750081550

Mr. Phillip Daniel Goldsborough is a Nurse Practitioner in Princess Anne, Maryland. Graduated from Wake Forest University School of Medicine in 2022, 4 years ago. Practices with Axis Healthcare Group, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Trained at
Wake Forest University School of Medicine
Licensed in
MD
In the registry since
2023

Practice location Address checks out

12145 Elm St
Princess Anne, MD 21853-1358
Phone: (410) 651-2204
Fax: (410) 651-0790
Show map & directions

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

Additional practice locations (1)

  • 100 E Carroll St, Salisbury, MD 21801-5422 — (202) 360-4787

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R193305 (MD)

Record details

NPI number1750081550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2023
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Axis Healthcare Group — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Princess Anne