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

Shannon L Goldsmith, DO

Individual provider Family Medicine Physician · NPI 1477748648

Shannon L Goldsmith, DO is a Family Practice in Ellisville, Mississippi. Graduated from Ohio University, College of Osteopathic Medicine in 2007, 19 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi and Ohio.

Years since qualifying
19
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
MS, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

822 Main St
Ellisville, MS 39437-2425
Phone: (601) 477-2014
Fax: (601) 477-9942
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 24285 (MS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 34009767 (OH)

Record details

NPI number1477748648
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 11, 2007
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2007 (19 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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