Individual provider Active NPI

Gary Allen Goode, D.C.

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1437278272
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36282 Issued in TN
Practice address
3725 Champion Hills Dr Ste 2000
Memphis, TN 38125-2510
Phone
(901) 367-9001
Fax
(901) 565-8787
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1195 TN
Family Nurse Practitioner 363LF0000X 36282 TN Primary

Addresses

Primary practice location

3725 Champion Hills Dr Ste 2000
Memphis, TN 38125-2510

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

1325 Eastmoreland Ave Ste 150
Memphis, TN 38104-3555
Phone (901) 516-9830

Other practice location 2

4954 William Arnold Rd
Memphis, TN 38117-4238
Phone (901) 685-1356

Other identifiers 3

IdentifierTypeStateIssuer
5926030OtherTNAETNA ID NUMBER
8567089OtherTNCIGNA ID NUMBER
3029427OtherTNBLUE CROSS BLUE SHIELD ID

Other names 1

  • Mr. Gary Allen Goode Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050323000628 TN Practitioner - Chiropractic 1254387285 Reassigns benefits to 3 organizations
I20240721000133 TN Practitioner - Nurse Practitioner 1254387285 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians
Methodist North Emergency Physicians, PLLCGroup PAC ID 0941659247, 43 clinicians

Practice addresses (Care Compare)

3725 Champion Hills Dr
Suite 2000
Memphis, TN 38125-0502
Phone (901) 367-9001

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36282TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist South Emergency Physicians, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Primary Care Group LLC Family CurrentSince Sep 1, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Methodist University Emergency Physicians PLLC CurrentSince Aug 1, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Aug 1, 2024 Accepting new patients
MSK Group PC Family Past Accepting new patients

Locations

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

1325 Eastmoreland Ave
Ste 150
Memphis, TN 38104
Phone (901) 516-9830

3725 Champion Hills Dr
Ste 2000
Memphis, TN 38125
Phone (901) 367-9001

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

Interoperability endpoints

  • Direct secure messaging: ggoode26303@mlh.direct-ci.com

Organizations & group practices 7

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 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1437278272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 CHAMPION HILLS DR STE 2000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252510",
            "telephone_number": "901-367-9001",
            "fax_number": "901-565-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Eastmoreland Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043555",
            "country_code": "US",
            "telephone_number": "901-516-9830",
            "fax_number": "901-516-9837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4954 William Arnold Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381174238",
            "country_code": "US",
            "telephone_number": "901-685-1356",
            "fax_number": "901-767-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODE",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1195",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID NUMBER",
            "identifier": "5926030",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID NUMBER",
            "identifier": "8567089",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "3029427",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "GOODE",
            "middle_name": "ALLEN",
            "prefix": "MR.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.