Active NPI
Jennifer Celeste Goodfred, D.O.
- Family Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1711
- Practice address
- 8970 Winchester Rd
Memphis, TN 38125-8231 - Phone
- (901) 794-5806
- Fax
- (901) 794-7922
- NPI assigned
- Jun 12, 2006
- Last updated
- May 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24106 | MS | |
| Family Medicine Physician | 207Q00000X | 1711 | TN | Primary |
Addresses
Primary practice location
8970 Winchester Rd
Memphis, TN 38125-8231
Mailing address
9398 Dogwood Rd S
Germantown, TN 38139-5737
Phone (901) 378-4705
Other practice location 1
1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone (901) 866-8812
Other practice location 2
7736 Airways Blvd
Southaven, MS 38671-5306
Phone (662) 772-3700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003181844A | Medicaid | GA | |
| 01203728 | Medicaid | MS | |
| 3319805 | Medicaid | TN | |
| 7100484990 | Medicaid | KY | |
| 1205878105 | Medicaid | MO | |
| 187976003 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801
6401 Poplar Ave
Suite 610
Memphis, TN 38119-4806
Phone (901) 761-1280
8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 93 of 100
- Quality
- 86.11
- Improvement activities
- 40
- Cost
- 85.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1711 | TN | MD | Marriage & Family Therapist |
| 24106 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Harpeth Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
| Saint Thomas Medical Partners | Family Medicine | Past | Accepting new patients |
| Tennessee Urgent Care Associates, LLC | Past | Accepting new patients | |
| Memphis Urgent Care #2, LLC. | Family Medicine | Past | Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
2831 Airways Blvd
Ste 102
Memphis, TN 38132
Phone (901) 348-0200
6401 Poplar Ave
Ste 610
Memphis, TN 38119
Phone (901) 227-5045
8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Interoperability endpoints
- jennifer.goodfredmd.p1@direct.churchhealthcenter.nextgenshare.com
- jgoodfred12204@direct.bmhcc.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Family Medicine, MS
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1174624811
Family Medicine
-
dba Urgent Care of Saint Francis
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1912565326
Family Medicine
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Family Medicine
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1548258825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1205878105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9398 DOGWOOD RD S",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381395737",
"telephone_number": "901-378-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8970 WINCHESTER RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258231",
"telephone_number": "901-794-5806",
"fax_number": "901-794-7922"
}
],
"practiceLocations": [
{
"address_1": "1301 Primacy Pkwy",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381190213",
"country_code": "US",
"telephone_number": "901-866-8812",
"fax_number": "901-302-2987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7736 Airways Blvd",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715306",
"country_code": "US",
"telephone_number": "662-772-3700",
"fax_number": "662-772-3719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODFRED",
"first_name": "JENNIFER",
"middle_name": "CELESTE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "24106",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "1711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003181844A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01203728",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3319805",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100484990",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1205878105",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187976003",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.