Individual provider Active NPI

Victoria Ashley Godwin, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1124648514
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T9912 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-1244
NPI assigned
Apr 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 27564 NV
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X T9912 TX Primary
Family Medicine Physician 207Q00000X 27564 NV

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1244

Other identifiers 1

IdentifierTypeStateIssuer
T9912OtherTXTEXAS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230524001504 TX Practitioner - Emergency MedicinePractitioner - Family Practice 5294191862 Reassigns benefits to 6 organizations
I20250318003415 TN Practitioner - Family Practice 5294191862 Reassigns benefits to 2 organizations
I20250919003025 MO Practitioner - Family Practice 5294191862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians
Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

4250 Gibson LN
Texarkana, TX 75503-1157
Phone (903) 614-8100

923 E Central Ave
La Follette, TN 37766-2768
Phone (423) 907-1200

Hospital & facility affiliations

  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Providence St Joseph Medical Center Hospital, Polson, MT, CCN 271343
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
  • Providence St Joseph Medical Center Nursing home, CCN 27Z343

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

Merit-based Incentive Payment System (MIPS)

Final score
98.15 of 100Reported as apm
Quality
88.15
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27564NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy St. Francis Hospital CurrentSince Jul 13, 2025 Accepting new patients
Union Emergency Physicians, PLLC CurrentSince Jul 22, 2024 Accepting new patients
Mercy St. Francis Hospital CurrentSince Jul 13, 2025 Accepting new patients
Ballinger Memorial Hospital District Current Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 1, 2023 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Feb 15, 2023 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Feb 28, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Hospitalist CurrentSince May 29, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 8, 2023 Accepting new patients
Northeast Texas Emergency Physicians, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Tarrant County Hospital District Past Accepting new patients

Locations

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

4250 Gibson Ln
Texarkana, TX 75503
Phone (903) 614-8100

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: vgodwin76737@direct.jpshealth.org

Organizations & group practices 12

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 5

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": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1124648514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "VICTORIA",
        "middle_name": "ASHLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "27564",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T9912",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "27564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "T9912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.