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

Q: What is Goode Provider's NPI number?

The NPI number for Goode Provider is 1225527989. It was assigned to this organization in the NPPES registry on May 8, 2018.

Q: What is Goode Provider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Goode Provider was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since May 08, 2018

2969 MOUNTAIN TERRACE ST, MEMPHIS, TN 38127(901) 821-1123 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

On this page

About Goode Provider NPPES

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

GOODE PROVIDER (NPI 1225527989) is a healthcare organization registered as an adult health in Memphis, Tennessee and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Southaven and lists Brenda Montgomery, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225527989

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameGOODE PROVIDER

Location Address2969 MOUNTAIN TERRACE STMemphis, TN 38127-8335

Mailing AddressPo Box 342322Bartlett, TN 38184-2322 · (901) 230-2269

Phone(901) 821-1123

Organization SubpartNo

Authorized OfficialBrenda MontgomeryAdministrator · (346) 262-2669

Enumeration DateMay 8, 2018

Last NPPES UpdateFebruary 2, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2024

✔ NPI 1225527989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

2969 MOUNTAIN TERRACE ST, Memphis, TN 38127

Open in Google Maps ↗

Secondary Practice Location 1

Location 11630 Goodman Rd E Ste 3Southaven, MS 38671-9556 · Phone (662) 470-7232

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 Goode Provider's NPI number?

The NPI number for Goode Provider is 1225527989. It was assigned to this organization in the NPPES registry on May 8, 2018.

Where is Goode Provider located?

Goode Provider is located at 2969 Mountain Terrace St, Memphis, TN 38127. The listed phone number is (901) 821-1123.

What is Goode Provider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Goode Provider was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.