Individual provider Active NPI

Chasity Hilliard Godwin, FNP-C

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1225400716
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008095 Issued in NC
Practice address
1800 Herring Ave E
Wilson, NC 27893-6727
Phone
(252) 296-3452
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008095 NC Primary

Addresses

Primary practice location

1800 Herring Ave E
Wilson, NC 27893-6727

Mailing address

1700 Tarboro St W
Wilson, NC 27893-3481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160111000095 NC Practitioner - Nurse Practitioner 3779885686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Rogers Rd
Suite 100
Wake Forest, NC 27587-3800
Phone (919) 385-1601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008095NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Wilson Physician Practices LLC CurrentSince Apr 1, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
DLP Wilson Physician Practices LLC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-5437

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

1700 Tarboro St W
Ste 100
Wilson, NC 27893
Phone (252) 399-5300

1700 Tarboro St W
Wilson, NC 27893
Phone (252) 399-5300

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

Interoperability endpoints

  • Direct secure messaging: cgodwin461433@direct.medicine.duke.edu

Organizations & group practices 6

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 6

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1225400716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HERRING AVE E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278936727",
            "telephone_number": "252-296-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "CHASITY",
        "middle_name": "HILLIARD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.