GOODE PROVIDER
NPI 1225527989
Nurse Practitioner - Adult Health in Memphis, TN

NPI Status: Active since May 08, 2018

Contact Information

2969 MOUNTAIN TERRACE ST
MEMPHIS, TN
ZIP 38127
Phone: (901) 821-1123

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NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2021, Jun 12, 2020, Apr 9, 2020 and 2 more (5 updates tracked since 2018).

  • Organization
  • Nurse Practitioner
  • Adult Health

About GOODE PROVIDER

This page provides the complete NPI Profile along with additional information for Goode Provider, a provider established in Memphis, Tennessee operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1225527989 assigned on May 2018. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Brenda Montgomery (Administrator)

NPI
1225527989
Provider Name
GOODE PROVIDER
Entity Type
Organization
Location Address
2969 MOUNTAIN TERRACE ST MEMPHIS, TN 38127
Location Phone
(901) 821-1123
Mailing Address
PO BOX 342322 BARTLETT, TN 38184
Mailing Phone
(901) 230-2269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2018
Last Update Date
02-02-2024
Code Navigator

A nurse practitioner (NP) like Goode Provider is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 1630 Goodman Rd E Ste 3
    Southaven, MS 38671
    (662) 470-7232

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1253Z00000XAgencies

In Home Supportive Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRENDA MONTGOMERY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(346) 262-2669

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225527989, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 1 + 0 + 2 + 1 + 4 + 9 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1225527989.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225527989, enumerated as an "organization" on May 08, 2018.

The provider is located at 2969 MOUNTAIN TERRACE ST MEMPHIS, TN 38127 and the phone number is (901) 821-1123.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.