NPIMap

Organization Active NPI

Fletcher H Goode MD PC

  • Ophthalmology Physician
  • Millington, TN
National Provider Identifier
1700809605
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2911 Issued in TN
Legal business name
FLETCHER H GOODE MD PC
Practice address
4759 Easley St
Millington, TN 38053-1931
Phone
(901) 872-2206
Fax
(901) 872-2995
NPI assigned
Jul 25, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Fletcher H Goode, MD PC
Title
President
Phone
(901) 872-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2911 TN Primary

Addresses

Primary practice location

4759 Easley St
Millington, TN 38053-1931

Mailing address

PO Box 548
Millington, TN 38083-0548
Phone (901) 872-2206

Other identifiers 1

IdentifierTypeStateIssuer
3122277MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1700809605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380830548",
            "telephone_number": "901-872-2206",
            "fax_number": "901-872-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 EASLEY ST",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531931",
            "telephone_number": "901-872-2206",
            "fax_number": "901-872-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER H GOODE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "FLETCHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-872-2206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "2911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3122277",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.