Individual provider Active NPI

Tracy Alaine Godfrey, MD

  • Family Medicine Physician
  • Webb City, MO
National Provider Identifier
1104828714
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
115438 Issued in MO
Practice address
6151 N Main Street Rd
Webb City, MO 64870-8189
Phone
(417) 781-0408
Fax
(417) 556-5377
NPI assigned
Aug 12, 2005
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 115438 MO Primary

Addresses

Primary practice location

6151 N Main Street Rd
Webb City, MO 64870-8189

Mailing address

6151 N Main Street Rd
Webb City, MO 64870-8189
Phone (417) 781-0408

Other practice location 1

501 N Sunset Ln
Raymore, MO 64083-9402
Phone (844) 853-8937

Other identifiers 3

IdentifierTypeStateIssuer
204685424MedicaidMO
100179800AMedicaidOK
100405220DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040216000467 MO Practitioner - Family Practice 3375438823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

2475 Broadway Bluffs Dr
Columbia, MO 65201-8148
Phone (573) 777-9282

303 N Keene St
Suite 202
Columbia, MO 65201-8052
Phone (844) 853-8937

701 N Devasher Rd
Warrensburg, MO 64093-9322
Phone (844) 853-8937

703 N Devasher Rd
Warrensburg, MO 64093-9322
Phone (888) 403-1071

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Compass Health, Inc CurrentSince Sep 16, 2024 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince May 21, 2021 Accepting new patients
Compass Health, Inc CurrentSince Sep 16, 2024 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince May 21, 2021 Accepting new patients
Family Health Center of Joplin Inc Family Medicine Past Accepting new patients
Sjmgroup Past Accepting new patients
University Health Physicians Family Medicine PastSince Nov 1, 2016 Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

805 N Orange St
Butler, MO 64730
Phone (417) 448-9247

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

101 Hospital Dr
Osceola, MO 64776
Phone (417) 646-2054

501 N Sunset Ln
Raymore, MO 64083
Phone (448) 538-9378

Interoperability endpoints

  • Direct secure messaging: tgodfrey190464@directb.mercy.net
  • Direct secure messaging: tracy.godfrey.1@15122.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Access Family Care JoplinCarthage, MO, CCN 261024 Federally qualified health center Corporate Officer Nov 1, 2021
Access Family CareNeosho, MO, CCN 261855 Federally qualified health center Corporate Officer Nov 1, 2021
Access Family CareGoodman, MO, CCN 261947 Federally qualified health center Corporate Officer
W-2 Managing Employee
Nov 1, 2021
Nov 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1104828714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 N MAIN STREET RD",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648708189",
            "telephone_number": "417-781-0408",
            "fax_number": "417-556-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 N MAIN STREET RD",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648708189",
            "telephone_number": "417-781-0408",
            "fax_number": "417-556-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Raymore",
            "state": "MO",
            "postal_code": "640839402",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "TRACY",
        "middle_name": "ALAINE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "115438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204685424",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179800A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100405220D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

Verify at the official NPI Registry.