Individual provider Active NPI

Mary Beth Jones-Godbee, RN

  • Registered Nurse
  • Sylvania, GA
National Provider Identifier
1174619142
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN164426 Issued in GA
Practice address
416 Pine St
Sylvania, GA 30467-2036
Phone
(912) 564-2182
Fax
(912) 564-7887
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN164426 GA Primary

Addresses

Primary practice location

416 Pine St
Sylvania, GA 30467-2036

Mailing address

416 Pine St
Sylvania, GA 30467-2036
Phone (912) 564-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN164426GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Screven County Health Department PastSince Jun 12, 2022 Accepting new patients
Screven County Health Department Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1174619142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 PINE ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672036",
            "telephone_number": "912-564-2182",
            "fax_number": "912-564-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PINE ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672036",
            "telephone_number": "912-564-2182",
            "fax_number": "912-564-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-GODBEE",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN164426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.