Active NPI
Katie Bridget Godsall, FNP
- Family Nurse Practitioner
- Zebulon, GA
National Provider Identifier
1043823719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 226610
- Practice address
- 16201 Barnesville St
Zebulon, GA 30295-3380 - Phone
- (770) 567-3323
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 226610 | GA | Primary |
Addresses
Primary practice location
16201 Barnesville St
Zebulon, GA 30295-3380
Mailing address
643 Main St
Palmetto, GA 30268-1138
Other practice location 1
101 Commerce Pl Ste 1
Barnesville, GA 30204-1680
Phone (770) 358-4408
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | k.godsall@yourtownhealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201222002982 | GA | Order and Referring Only - General Practice | 2062824766 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1043823719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 MAIN ST",
"city": "PALMETTO",
"state": "GA",
"postal_code": "302681138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16201 BARNESVILLE ST",
"city": "ZEBULON",
"state": "GA",
"postal_code": "302953380",
"telephone_number": "770-567-3323"
}
],
"practiceLocations": [
{
"address_1": "101 Commerce Pl Ste 1",
"address_purpose": "LOCATION",
"city": "Barnesville",
"state": "GA",
"postal_code": "302041680",
"country_code": "US",
"telephone_number": "770-358-4408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODSALL",
"first_name": "KATIE",
"middle_name": "BRIDGET",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "226610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "k.godsall@yourtownhealth.com",
"affiliation": "N",
"address_1": "16201 Barnesville St",
"city": "Zebulon",
"state": "GA",
"country_code": "US",
"postal_code": "302953380",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Zebulon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.