Noreen M Godfrey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2766 Issued in FL

Practice address

608 S 9TH St Ste C
Leesburg, FL 34748-6342

Phone

(813) 321-1786

Fax

(813) 321-1787

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Institute of Dermatology PA

  • Dermatology Physician
  • Sebring, FL
  • NPI 1861487795
  Medicare reassignment
• Divani Dermatology LLC

  • Dermatology Physician
  • Sebastian, FL
  • NPI 1255986113
  Medicare reassignment
• Johnny Gurgen DO PA

  • Dermatology Physician
  • Lady Lake, FL
  • NPI 1770856833
  Medicare reassignment
• Selectskinmd LLC

  • MOHS-Micrographic Surgery Physician
  • Vero Beach, FL
  • NPI 1427414168
  Medicare reassignment
• Douglas K Pierce MD PA

  • Procedural Dermatology Physician
  • Largo, FL
  • NPI 1053515379
  NPD (past)
• Gulf View Walk in Clinic,Inc

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1386749000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1063536670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584880",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S 9TH ST STE C",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486342",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "NOREEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "970029285",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deona Berna Glover
• Jeffrey Neil Glover, D.C.
• Marilyn Glover
• GN Hearing Care Corporation
• Hershl Godbee
• Bogdan Gogioiu, MD
• Golden Pathways Speech and Language Communication Services PLLC
• Samantha Raye Golden
• Justin Goldman
• Tracey Alison Goldstein-Marquez, PT

• Physician Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.