Jennifer Goodfred (NPI# 1205878105, PAC ID# 6608879267) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205878105 |
| PAC ID by PECOS | 6608879267 |
| Professional Enrollment ID | I20060821000382 |
| Full Name | Jennifer Goodfred |
| Organization Legal Name | MEMPHIS URGENT CARE 2 LLC |
| Address |
1520 Bonnie Lane Cordova TN 38016-1562 |
| Phone Number | 9017919060 |
| Gender | F |
| Credential | MD |
| Medical School | PIKEVILLE COLLEGE SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648407023 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3025 Kirby Whitten Rd, Suite 4, Bartlett, TN 38134-2868 | 9015620933 | CARESPOT OF MEMPHIS, LLC |
| 853 W Poplar Ave, Collierville, TN 38017-2545 | 9018508351 | MEMPHIS URGENT CARE 2 LLC |
| 1520 Bonnie Lane, Cordova, TN 38016-1562 | 9017919060 | MEMPHIS URGENT CARE 2 LLC |
| 1941 S Germantown Rd, Suite 103, Germantown, TN 38138-2811 | 8776540472 | MEMPHIS URGENT CARE 1, LLC |
| 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 9014480275 | UT MEDICAL GROUP, INC. |
| 1505 N 2nd St, Memphis, TN 38107-1003 | 9017910600 | UT MEDICAL GROUP, INC. |
| Organization Legal Name | MEMPHIS URGENT CARE 2 LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sayyida Abdus-salaam | Family Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Kathy J Banks | Nurse Practitioner | Memphis Urgent Care 2 LLC | 853 W Poplar Ave, Collierville, TN 38017-2545 |
| Marybeth W Floyd | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Rose C Ellen | Internal Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Charla F Wilson | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Victoria Vanacore | Physician Assistant | Memphis Urgent Care 2 LLC | 853 W Poplar Ave, Collierville, TN 38017-2545 |
| Jason Stewart | Nurse Practitioner | Memphis Urgent Care 2 LLC | 853 W Poplar Ave, Collierville, TN 38017-2545 |
| Sheila Dillard | Family Medicine | Memphis Urgent Care 2 LLC | 853 W Poplar Ave, Collierville, TN 38017-2545 |
| Kristen Dollahite | Physician Assistant | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Lee A Stearnes | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Street Address |
1520 BONNIE LANE |
| City | CORDOVA |
| State | TN |
| Zip | 38016-1562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sayyida Abdus-salaam | Family Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Marybeth W Floyd | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Rose C Ellen | Internal Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Charla F Wilson | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Kristen Dollahite | Physician Assistant | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Lee A Stearnes | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Jennifer Mary Alexandra Crawford | Physician Assistant | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Donald Wayne Edgerly | Family Medicine | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Karen L Salvaggio | Nurse Practitioner | Memphis Urgent Care 2 LLC | 1520 Bonnie Lane, Cordova, TN 38016-1562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Markham | Physical Therapy | The Smith Clinic for Physical Therapy | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0521 |
| Robert Cody Heismann | Physical Therapy | The Smith Clinic for Physical Therapy | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0521 |
| Michael L Smith | Physical Therapy | The Smith Clinic for Physical Therapy | 8110 Cordova Rd, Suite 107, Cordova, TN 38016-0521 |
| Grace Deles Vedala | Physical Therapy | 2075 N Germantown Pkwy, Suite 108, Cordova, TN 38016-1730 | |
| Wyatt L Nichols | Psychologist, Clinical | 8142 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | |
| Carolyn C Martin | Psychologist, Clinical | 8142 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | |
| Nanetta R Walls | Psychologist, Clinical | 8142 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | |
| Geraldine L Bishop | Clinical Psychologist | 8142 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | |
| Lee Wilkes Mccallum | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Calvin Jeff Mullins | Family Medicine | Primary Care Group, LLC | 8115 Country Village Dr, Suite 105, Cordova, TN 38016-2030 |
| Find all physicians in zip 38016 | |||
| City | CORDOVA |
| Zip Code | 38016 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CORDOVA + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.