Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thor Matthew Goodfellow, MD

Individual provider Internal Medicine Physician · NPI 1376005850

Thor Matthew Goodfellow, MD is an Internal Medicine Physician in Jackson, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 S 28th Ave, Hattiesburg, MS 39401-7246 — (601) 268-5800

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 30132 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence T-3775 (MS)

Record details

NPI number1376005850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

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