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Deactivated NPI 1538711320 Deactivated / Inactive NPI Female Practitioner

Astria Goolsby , EP, EIM

Clinical Exercise Physiologist • Jackson, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Astria Goolsby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2019
NPI Deactivation Date August 30, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Astria Goolsby, EP, EIM was a registered Clinical Exercise Physiologist practicing in Jackson, MS. Throughout an active medical career spanning 3 years, Astria Goolsby provided care at the practice location at 2906 N STATE ST STE 105 until profile deactivation on 2022-08-30.

Practice Location & Contact Primary Location

Practice Address

2906 N State St Ste 105

Jackson, MS 392164231

Telephone 6013084220
Associated Practice Facility / Clinic
🏢 Verve, Llc Facility NPI 1306566450

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Exercise Physiologist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Jackson, MS (9 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Clinical Exercise Physiologist Primary Specialty

NUCC Taxonomy Code: 224Y00000X

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 30, 2022

Record deactivated on August 30, 2022

NPI Profile Active July 21, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2019

Registered at 2906 N STATE ST STE 105, JACKSON, MS 392164231 (Tel: 6013084220)

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Updated Business Mailing Address July 21, 2019

Registered at 2906 N STATE ST STE 105, JACKSON, MS 392164231 (Tel: 6013084220)

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Provider Name / Credentials Updated July 21, 2019

Recorded as ASTRIA GOOLSBY, EP, EIM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2019

Clinical Exercise Physiologist

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Initial NPI Registration & Enumeration July 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538711320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2019
Last Update: July 21, 2019
Deactivation Date: August 30, 2022

Mailing Address

2906 N State St Ste 105

Jackson, MS 392164231

Phone: 6013084220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.