Individual provider Active NPI

Joanne P. Goode, NP

  • Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1922503085
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP193662 Issued in GA
Practice address
4800 Olde Towne Pkwy Ste 320
Marietta, GA 30068-4357
Phone
(678) 341-6370
Fax
(770) 509-0601
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP193662 GA Primary

Addresses

Primary practice location

4800 Olde Towne Pkwy Ste 320
Marietta, GA 30068-4357

Mailing address

PO Box 117598
Atlanta, GA 30368-7598
Phone (770) 442-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260403001070 GA Practitioner - Nurse Practitioner 8527302165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2866 Johnson Ferry Rd
Suite 200
Marietta, GA 30062-8348

PO Box
Atlanta, GA 30368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP193662GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Jun 5, 2022 Accepting new patients

Locations

4800 Olde Towne Pkwy
Ste 320
Marietta, GA 30068
Phone (678) 341-6370

Interoperability endpoints

  • Direct secure messaging: joanne.goodenp.p1@direct.vistacommunityclinic.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1922503085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117598",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687598",
            "telephone_number": "770-442-1911",
            "fax_number": "770-442-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 OLDE TOWNE PKWY STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684357",
            "telephone_number": "678-341-6370",
            "fax_number": "770-509-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "JOANNE",
        "middle_name": "P.",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP193662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.