OrganizationActive
Goode Provider
NPI 1225527989 · Adult Health Nurse Practitioner · Memphis, TN
Provider details
- NPI number
- 1225527989
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brenda Montgomery, Administrator(346) 262-2669
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2969 Mountain Terrace St
Memphis, TN 38127-8335
Phone: (901) 821-1123
Street-level locationGet directions
Mailing address
Po Box 342322
Bartlett, TN 38184-2322
Additional practice locations (1)
- 1630 Goodman Rd E Ste 3Southaven, MS 38671-9556Phone: (662) 470-7232
Registry dates
- Enumerated
- 2018-05-08
- Last updated
- 2024-02-02
- Certified
- 2024-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.