GOODE PROVIDER
NPI 1982491361
Nurse Practitioner - Family in Southaven, MS
About Goode Provider NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOODE PROVIDER (NPI 1982491361) is a healthcare organization registered as a family in Southaven, Mississippi and active in the NPI registry since April 2025. The organization lists Courtney Goode, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goode Provider is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Goode Provider, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1982491361. It was assigned to this organization in the NPPES registry on April 21, 2025.
Where is Goode Provider located?
Goode Provider is located at 1630 Goodman Rd E Ste 3, Southaven, MS 38671. The listed phone number is (662) 470-7232.
What is Goode Provider's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Goode Provider enrolled in Medicare?
Yes. Goode Provider is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Goode Provider?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Goode Provider. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Goode Provider accept?
Health plans from Cigna Healthcare list Goode Provider as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Goode Provider was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Goode Provider · NPI 1982491361
Family organization in Southaven, Mississippi. Organization record, active in the CMS NPPES registry since April 21, 2025.
## Identity
- **NPI:** 1982491361 (Entity type: Organization)
- **Enumerated:** April 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Courtney Goode, OWNER
## Practice location
- **Address:** 1630 GOODMAN RD E STE 3, Southaven, MS 38671-9556
- **Phone:** (662) 470-7232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2025
- **Other identifiers:** Medicaid Q102274 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1982491361) · Data from the CMS NPPES public registry.