GOODE PROVIDER
NPI 1982491361
Nurse Practitioner - Family in Southaven, MS

Active since April 21, 2025
1630 GOODMAN RD E STE 3, SOUTHAVEN, MS 38671(662) 470-7232 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1982491361
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGOODE PROVIDER
Location Address1630 GOODMAN RD E STE 3Southaven, MS 38671-9556
Mailing AddressPo Box 342322Bartlett, TN 38184-2322
Organization SubpartNo
Authorized OfficialCourtney GoodeOwner · (662) 470-7232
Enumeration DateApril 21, 2025
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1982491361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1630 GOODMAN RD E STE 3, Southaven, MS 38671

Other Identifiers 1

MedicaidQ102274TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1630 GOODMAN RD E STE 3
SOUTHAVEN, MS 38671
Nurse Practitioner (Adult Health)
1630 GOODMAN RD E STE 3
SOUTHAVEN, MS 38671

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.

When was this NPI record last updated?

The NPPES record for Goode Provider was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.