Individual provider Active NPI

Robbie B. Godwin, D.O.

  • Diagnostic Radiology Physician
  • Columbus, MS
National Provider Identifier
1073721544
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20252 Issued in MS
Practice address
2520 5TH St N
Columbus, MS 39705-2008
Phone
(662) 244-1000
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO1865 TN
Diagnostic Radiology Physician 2085R0202X 20252 MS Primary

Addresses

Primary practice location

2520 5TH St N
Columbus, MS 39705-2008

Mailing address

PO Box 7695
Columbus, MS 39705-0026
Phone (662) 328-2476

Other practice location 1

2520 5th St N
Columbus, MS 39705-2008
Phone (662) 244-1584

Other identifiers 1

IdentifierTypeStateIssuer
620476822OtherTNVMG TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000189 MS Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7113014788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Kansas City Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (662) 538-2535

200 State Hwy 30 W
Suite 100
New Albany, MS 38652-3112
Phone (662) 538-2680

2520 5TH St N
Columbus, MS 39705-2008
Phone (662) 244-2042

255 Baptist Blvd
Columbus, MS 39705-2006

452 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-3724

456 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7474

PO Box
Suite 405827
Atlanta, GA 30384-5827

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1865TNMDMarriage & Family Therapist
20252MSMDDiagnostic Radiology Physician
DO1865TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Golden Triangle Radiology Current Accepting new patients
Medical Foundation of Central Ms CurrentSince Jan 1, 2026 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

2003 Old Aberdeen Rd
Columbus, MS 39705
Phone (662) 328-2476

2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000

151 E Metro Dr
Ste 102
Flowood, MS 39232
Phone (601) 973-1680

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Interoperability endpoints

  • Direct secure messaging: rgodwin49251@direct.bmhcc.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073721544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7695",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050026",
            "telephone_number": "662-328-2476",
            "fax_number": "662-327-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-244-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 5th St N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052008",
            "country_code": "US",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ROBBIE",
        "middle_name": "B.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-03-07",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "DO1865",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "20252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VMG TAX ID",
            "identifier": "620476822",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.