Daisy Melinda King-Godineaux, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN129544 Issued in GA

Practice address

4760 Austell Rd Ste 1&3
Austell, GA 30106-2007

Phone

(678) 464-4636

NPI assigned

Apr 2, 2024

Last updated

Dec 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 10

Addresses

Other names 1

• Daisy Melinda Smith Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care Ga PCGroup PAC ID 3274939061, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daisy.king-godineaux.1@29601.direct.athenahealth.com

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.

• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Old National

  • Internal Medicine Physician
  • South Fulton, GA
  • NPI 1801463468
  Medicare reassignment Care Compare group NPD
• Your Way Medical Health Care Clinic

  • Family Nurse Practitioner
  • Riverdale, GA
  • NPI 1427911924
  Medicare reassignment NPD Authorized official
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  GA, Nurse Practitioner

  Medicare reassignment NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-East Paulding

  • Internal Medicine Physician
  • Dallas, GA
  • NPI 1366269367
  NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Woodstock

  • Internal Medicine Physician
  • Woodstock, GA
  • NPI 1689491680
  NPD
• Centerwell Senior Primary Care Ga PC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1336713700
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1144072273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ROBERTS DR STE 84",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742959",
            "telephone_number": "678-361-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 AUSTELL RD STE 1&3",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062007",
            "telephone_number": "678-464-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-GODINEAUX",
        "first_name": "DAISY",
        "middle_name": "MELINDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN129544",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "GA",
            "license": "RN129544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "SMITH",
            "middle_name": "MELINDA",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mohammad Raza Khan
• Muhammad Aizaz Mohsin Khan, MBCHB
• Nabeel A Khan, MD
• Anshika Payal Khare, MD
• Agnes Kim, PT, DPT
• Jacob King
• King's Primary Care & Wellness
• Kingfishing Inc (Kingfishing Home Care)
• Alan Thomas Kippeny, PA-C
• Susan H Kirby, NP-C

• Family Nurse Practitioner in Austell, GA
• Providers in Austell, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.