Goode Provider

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GOODE PROVIDER

Practice address

1630 Goodman Rd E Ste 3
Southaven, MS 38671-9556

Phone

(662) 470-7232

NPI assigned

Apr 21, 2025

Last updated

Jun 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney GoodeNPI 1356680573

Title

Owner

Phone

(662) 470-7232

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Courtney Danielle Goode, NP

  • Adult Health Nurse Practitioner
  • Southaven, MS
  • NPI 1356680573

  Family, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Kakecha Tiwana Taylor, FNP

  • Family Nurse Practitioner
  • Hernando, MS
  • NPI 1447478342

  TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1982491361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342322",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381842322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GOODMAN RD E STE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719556",
            "telephone_number": "662-470-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-470-7232"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q102274",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamekia Golliday
• Damaris Gomez-Gliliam
• Rosa Anitza Gomez, MD
• Madison Makenzie Gooch, DNP
• Good Hearts Home Health Group, LLC
• Courtney Danielle Goode, NP
• Erica M Goodrich, CRNA
• Matthew Blake Goodwin, PT
• Dylan Collins Goolsby, FNP
• Anna Crow Gordon

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.