| Dr Gary Allen Goode, DC | |
|
3725 Champion Hills Dr Ste 2000, Memphis, TN 38125-2510 | |
| (901) 367-9001 | |
| (901) 565-8787 |
| Full Name | Dr Gary Allen Goode |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3725 Champion Hills Dr Ste 2000, Memphis, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437278272 | NPI | - | NPPES |
| 5926030 | Other | TN | AETNA ID NUMBER |
| 8567089 | Other | TN | CIGNA ID NUMBER |
| 3029427 | Other | TN | BLUE CROSS BLUE SHIELD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1195 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 36282 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Group, Llc | 0941480131 | 103 |
| Methodist North Emergency Physicians, Pllc | 0941659247 | 43 |
| Provider Name | Primary Care Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093016651 PECOS PAC ID: 0941480131 Enrollment ID: O20110204000483 |
| Provider Name | Methodist University Emergency Physicians Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
| Provider Name | Germantown Emergency Physicians, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
| Provider Name | Methodist North Emergency Physicians, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
| Provider Name | Methodist South Emergency Physicians, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Allen Goode, DC 1211 Union Ave Ste 330, Memphis, TN 38104-6655 Ph: () - | Dr Gary Allen Goode, DC 3725 Champion Hills Dr Ste 2000, Memphis, TN 38125-2510 Ph: (901) 367-9001 |