Individual provider Active NPI

Gisele Allen Goff, MD

  • Family Medicine Physician
  • Bartlett, TN
National Provider Identifier
1851344857
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33988 Issued in TN
Practice address
6555 Stage Rd
Suite 1
Bartlett, TN 38134-2810
Phone
(901) 377-3475
Fax
(901) 377-8068
NPI assigned
May 18, 2006
Last updated
Aug 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33988 TN Primary

Addresses

Primary practice location

6555 Stage Rd
Suite 1
Bartlett, TN 38134-2810

Mailing address

PO Box 102906
Atlanta, GA 30368-2906
Phone (901) 377-3475

Other identifiers 1

IdentifierTypeStateIssuer
3157198OtherTNBLUE CROSS INDIVIDUAL PRO

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

LicenseStateTypeSpecialty
33988TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle a. Shelton, MD, LLC Family Medicine Past Accepting new patients
Family Care Group PC Family Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1851344857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102906",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682906",
            "telephone_number": "901-377-3475",
            "fax_number": "901-377-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 STAGE RD",
            "address_2": "SUITE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342810",
            "telephone_number": "901-377-3475",
            "fax_number": "901-377-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "GISELE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "33988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL PRO",
            "identifier": "3157198",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.