Goode Provider
NPI 1225527989ActiveOrganization· Nurse Practitioner, Adult Health· Memphis, TN
Nurse Practitioner, Adult Health in Memphis, Tennessee, registered in NPPES in May 2018. The authorized official on file is Brenda Montgomery, Administrator.
Overview
| NPI | 1225527989 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2018 |
| Last updated in NPPES | Feb 2, 2024 |
| Certified by provider | Feb 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | — | — |
| In Home Supportive Care | 253Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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