Individual provider Active NPI

Courtney Danielle Goode, NP

  • Adult Health Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1356680573
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0000017234 Issued in TN
Practice address
1630 Goodman Rd E Ste 3
Southaven, MS 38671-9556
Phone
(901) 821-1123
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A810522 MS
Family Nurse Practitioner 363LF0000X 17234 TN
Adult Health Nurse Practitioner 363LA2200X APN0000017234 TN Primary

Addresses

Primary practice location

1630 Goodman Rd E Ste 3
Southaven, MS 38671-9556

Mailing address

PO Box 342322
Bartlett, TN 38184-2322
Phone (662) 470-7232

Other practice location 1

6025 Primacy Pkwy
Memphis, TN 38119-5763
Phone (901) 767-1040

Other practice location 2

955 N Germantown Pkwy
Cordova, TN 38018-6215
Phone (901) 821-1123

Other practice location 3

8119 Memphis Arlington Rd
Bartlett, TN 38133-2103
Phone (901) 821-1123

Other practice location 4

1368 Wolf River Blvd
Collierville, TN 38017-8687
Phone (901) 414-8447

Other identifiers 1

IdentifierTypeStateIssuer
810522OtherMSBOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131220001108 TN Practitioner - Nurse Practitioner 4587819222 Reassigns benefits to 2 organizations
I20140103001118 MS Practitioner - Nurse Practitioner 4587819222 Reassigns benefits to 1 organization
Practice locations: Southaven, MS
I20160412001142 AR Practitioner - Nurse Practitioner 4587819222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Goode ProviderGroup PAC ID 3678087897, 2 clinicians

Practice addresses (Care Compare)

1630 Goodman Rd E
Suite 3
Southaven, MS 38671-9556
Phone (662) 470-7232

2969 Mountain Terrace St
Memphis, TN 38127-8335
Phone (662) 470-7232

Hospital & facility affiliations

  • Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
  • Extendicare Home Health of West TN Home health agency, Dyersburg, TN, CCN 447284
  • Accentcare Home Health of West Tennessee, LLC Home health agency, Memphis, TN, CCN 447826
  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407

Merit-based Incentive Payment System (MIPS)

Final score
24.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17234TNMDAnatomic Pathology & Clinical Pathology Physician
A810522MSMDNurse Practitioner
APN0000017234TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Arkansas LLC Nurse Practitioner CurrentSince Mar 14, 2016 Accepting new patients
Goode Provider Family CurrentSince Jun 1, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Nov 1, 2024 Accepting new patients

Locations

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

1630 Goodman Rd E
Ste 3
Southaven, MS 38671
Phone (662) 470-7232

8119 Memphis Arlington Rd
Bartlett, TN 38133
Phone (901) 726-5600

955 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 754-1393

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

Interoperability endpoints

  • Direct secure messaging: courtney.goode.1@31772.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1356680573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342322",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381842322",
            "telephone_number": "662-470-7232",
            "fax_number": "502-568-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GOODMAN RD E STE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719556",
            "telephone_number": "901-821-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 PRIMACY PKWY",
            "address_purpose": "LOCATION",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195763",
            "country_code": "US",
            "telephone_number": "901-767-1040",
            "fax_number": "901-685-7362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 N Germantown Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380186215",
            "country_code": "US",
            "telephone_number": "901-821-1123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8119 Memphis Arlington Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381332103",
            "country_code": "US",
            "telephone_number": "901-821-1123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1368 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380178687",
            "country_code": "US",
            "telephone_number": "901-414-8447",
            "fax_number": "901-316-5327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "COURTNEY",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "A810522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17234",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000017234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "810522",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.