Individual provider Active NPI

Tiara Lynn Cochran Goode, PA-C

  • Physician Assistant
  • Liberty, KY
National Provider Identifier
1306590369
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC276 Issued in KY
Practice address
511 Middleburg St
Liberty, KY 42539-3009
Phone
(606) 787-5963
NPI assigned
Feb 9, 2022
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC276 KY Primary

Addresses

Primary practice location

511 Middleburg St
Liberty, KY 42539-3009

Mailing address

PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2360

Other names 1

  • Tiara Lynn Cochran Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228000523 KY Practitioner - Physician Assistant 9032589569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

511 Middleburg St
Liberty, KY 42539-3009
Phone (606) 787-5963

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC276KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince Dec 19, 2022 Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jul 20, 2023 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Physician Assistant CurrentSince Jul 20, 2023 Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Dec 19, 2022 Accepting new patients
Ephraim McDowell Health Resource, Inc Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

511 Middleburg St
Liberty, KY 42539
Phone (606) 236-2388

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Organizations & group practices 9

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1306590369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404230990",
            "telephone_number": "859-239-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MIDDLEBURG ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393009",
            "telephone_number": "606-787-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN GOODE",
        "first_name": "TIARA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIARA",
            "last_name": "COCHRAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.