Good Shepard LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GOOD SHEPARD LLC

Practice address

632 Lakeland East Dr
Flowood, MS 39232-9565

Phone

(662) 694-0900

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Beth Martin

Title

Director

Phone

(601) 944-1717

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1487260329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321191",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 LAKELAND EAST DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329565",
            "telephone_number": "662-694-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-944-1717"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "www.tmcmahon@hcplusllc.com",
            "affiliation": "N",
            "address_1": "632 Lakeland East Dr",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Christina Glick, M.D.
• Edward Charles Gnam III, M.D.
• Justin R. Goebel, PA
• Good Faith Wellness Center PLLC
• Good Samaritan Pediatrics Specialists
• Gregory Andrew Gordon, M.D.
• Kaleigh Christian Gordon, SLP-CCC
• Goree Psychiatric Services, LLC
• Anna Caroline Goss
• Grace Behavioral Services LLC

• General Practice Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.