Active NPI
Michael Clay Good, M.D.
- Obstetrics & Gynecology Physician
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD20246
- Practice address
- 100 Lantana Rd Ste 202
Crossville, TN 38555-1903 - Phone
- (931) 484-5141
- Fax
- (931) 484-5620
- NPI assigned
- May 4, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD20246 | TN | Primary |
Addresses
Primary practice location
100 Lantana Rd Ste 202
Crossville, TN 38555-1903
Mailing address
100 Lantana Rd Ste 202
Crossville, TN 38555-1903
Phone (931) 484-5141
Other practice location 1
112 Airport Business Park Dr Ste A
Shelbyville, TN 37160-7453
Phone (931) 492-4705
Other practice location 2
Roane Professional Building
8035 Roane Medical Center Drive
harriman, TN 37748
Phone (931) 484-5141
Other practice location 3
112 Airport Business Park Dr Ste A
Shelbyville, TN 37160-7453
Phone (931) 492-4705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q007338 | Medicaid | TN | |
| 3079968 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | good.michael@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20246 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael C Good MD PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Vanderbilt University Medical Center | Obstetrics & Gynecology | Past | Accepting new patients |
| Rene C del Valle MD PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1321 McArthur St
Ste B
Manchester, TN 37355
Phone (931) 723-2265
Interoperability endpoints
- good.michael@covenanthealth.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Manchester, TN
- NPI 1790817526
-
- Obstetrics & Gynecology Physician
- Manchester, TN
- NPI 1528150596
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760430862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LANTANA RD STE 202",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385551903",
"telephone_number": "931-484-5141",
"fax_number": "931-484-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LANTANA RD STE 202",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385551903",
"telephone_number": "931-484-5141",
"fax_number": "931-484-5620"
}
],
"practiceLocations": [
{
"address_1": "112 Airport Business Park Dr Ste A",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "TN",
"postal_code": "371607453",
"country_code": "US",
"telephone_number": "931-492-4705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Roane Professional Building",
"address_2": "8035 Roane Medical Center Drive",
"address_purpose": "LOCATION",
"city": "harriman",
"state": "TN",
"postal_code": "37748",
"country_code": "US",
"telephone_number": "931-484-5141",
"fax_number": "865-374-2074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Airport Business Park Dr Ste A",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "TN",
"postal_code": "371607453",
"country_code": "US",
"telephone_number": "931-492-4705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOOD",
"first_name": "MICHAEL",
"middle_name": "CLAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2022-07-21",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD20246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q007338",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079968",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "good.michael@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "100 Lantana Rd Ste 202",
"city": "Crossville",
"state": "TN",
"country_code": "US",
"postal_code": "385551903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.