Individual provider Active NPI

Santrise Goree, M.D.

  • Psychiatry Physician
  • Tupelo, MS
National Provider Identifier
1770760357
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21765 Issued in MS
Practice address
4579 S Eason Blvd
Tupelo, MS 38801-6539
Phone
(662) 377-7590
Fax
(662) 377-7035
NPI assigned
Jan 26, 2008
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A134640 CA
Psychiatry Physician 2084P0800X MD000051969 TN
Psychiatry Physician 2084P0800X 49915 AZ
Psychiatry Physician 2084P0800X 21765 MS Primary

Addresses

Primary practice location

4579 S Eason Blvd
Tupelo, MS 38801-6539

Mailing address

4579 S Eason Blvd
Tupelo, MS 38801-6539
Phone (662) 377-7590

Other practice location 1

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-5790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111109000540 MS Practitioner - Psychiatry 1456524305 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

106 Highland Way
Madison, MS 39110-6933

4579 S Eason Blvd
Suite a
Tupelo, MS 38801-6539
Phone (662) 377-6161

969 Lakeland Dr
Jackson, MS 39216-4606
Phone (601) 200-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49915AZMDPsychiatry Physician
A134640CAMDPsychiatry Physician
MD000051969TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince May 24, 2022 Accepting new patients
Singing River Health System CurrentSince Jul 1, 2017 Accepting new patients
Forrest County General Hospital Psychiatry CurrentSince May 24, 2022 Accepting new patients
Forrest County General Hospital Current Accepting new patients
North Mississippi Medical Center CurrentSince Oct 12, 2020 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Goree Psychiatric Services, LLC Current Accepting new patients
Four Corners Psychiatry PLLC Psychiatry CurrentSince Jul 25, 2023 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients

Locations

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

1 Lincoln Pkwy
Ste 202
Hattiesburg, MS 39402
Phone (601) 288-8050

2117 Broadway Dr
Hattiesburg, MS 39402
Phone (601) 288-8050

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1888 Main St
Ste C
Madison, MS 39110
Phone (601) 594-2609

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

Interoperability endpoints

  • Direct secure messaging: santrisegoree@nmhs.medalliesdirect.net
  • Direct secure messaging: sgoree5327408@direct.casso.us.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1770760357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016539",
            "telephone_number": "662-377-7590",
            "fax_number": "662-377-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 S EASON BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016539",
            "telephone_number": "662-377-7590",
            "fax_number": "662-377-7035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-5790",
            "fax_number": "601-200-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOREE",
        "first_name": "SANTRISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A134640",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD000051969",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "49915",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "21765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.