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
- Organization
- Nurse Practitioner
- Adult Health
- CLIA Number: 44D2300930
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 03-18-2026
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) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2300930
- Facility Type
- Practitioner Other
- Certificate Effective Date
- March 19, 2024
- Certificate Expiration Date
- March 18, 2026
- Laboratory Director
- COURTNEY GOODE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Goode Provider to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
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.
