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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACK ALLAN GOODE
NPI 1124931191
Physician Assistant in Lebanon, TN

Active since September 23, 2026
1729 ORCHARD DR, LEBANON, TN 37087(615) 934-2087 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jack Allan Goode NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ALLAN GOODE (NPI 1124931191) is an individual physician assistant in Lebanon, Tennessee and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1124931191
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK ALLAN GOODE
Location Address1729 ORCHARD DRLebanon, TN 37087-4829
Mailing Address1729 Orchard DrLebanon, TN 37087-4829 · (615) 934-2087
Phone(615) 934-2087
Sole ProprietorYes
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1124931191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1729 ORCHARD DR, Lebanon, TN 37087
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Goode's NPI number?

The NPI number for Jack Goode is 1124931191. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Jack Goode located?

Jack Goode practices at 1729 Orchard Dr, Lebanon, TN 37087. The listed phone number is (615) 934-2087.

What is Jack Goode's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jack Goode was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.