Active NPI
Stacy Goode, MD
- Family Medicine Physician
- Marietta, OK
National Provider Identifier
1225248784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27479
- Practice address
- 301 Wanda St
Marietta, OK 73448-1229 - Phone
- (580) 276-2400
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27479 | AL | Primary |
Addresses
Primary practice location
301 Wanda St
Marietta, OK 73448-1229
Mailing address
301 Wanda St
Marietta, OK 73448-1229
Phone (580) 276-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009913532 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080916000415 | TX | Practitioner - Family Practice | 1052497591 | Reassigns benefits to 3 organizations |
| I20230929000877 | OK | Practitioner - Family Practice | 1052497591 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Love County Health Center
Practice addresses (Care Compare)
301 Wanda St
Marietta, OK 73448-1229
Phone (580) 276-2400
Hospital & facility affiliations
- Mays Housecall Home Health of Durant
- Enhabit Home Health of Central Oklahoma
- Mercy Hospital Marietta
- Mercy Hospital Ardmore, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27479 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnegie Indian Health Center | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Love County Health Center | Family Medicine | Past | Accepting new patients |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients | |
| Love County Health Center | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Pea River Emergency Physicians | Past | Accepting new patients | |
| Noah Tucker Inpatient Services | Past | Accepting new patients |
Locations
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
212 E 4th St
Carnegie, OK 73015
Phone (580) 654-1100
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Marietta, OK
- NPI 1881723013
OK
-
- Critical Access Hospital
- Marietta, OK
- NPI 1649221557
-
- Critical Access Hospital
- Marietta, OK
- NPI 1912944646
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Emergency Medicine Physician
- Opp, AL
- NPI 1356391353
-
- Hospitalist Physician
- Elba, AL
- NPI 1871850297
-
- Emergency Medicine Physician
- Elba, AL
- NPI 1275890691
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durant, OK
- NPI 1720480932
-
- Home Health Agency
- Norman, OK
- NPI 1689654949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1225248784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 WANDA ST",
"city": "MARIETTA",
"state": "OK",
"postal_code": "734481229",
"telephone_number": "580-276-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 WANDA ST",
"city": "MARIETTA",
"state": "OK",
"postal_code": "734481229",
"telephone_number": "580-276-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "STACY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "27479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913532",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.