Aaron Godwin MD LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

58475 Issued in GA

Legal business name

AARON GODWIN MD LLC

Practice address

658 Kennesaw Ave NE
Atlanta, GA 30308-2711

Phone

(404) 580-9200

Fax

(678) 593-4900

NPI assigned

Sep 21, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron O Godwin

Title

Doctor

Phone

(404) 580-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1255614723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 KENNESAW AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082711",
            "telephone_number": "404-580-9200",
            "fax_number": "678-593-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 KENNESAW AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082711",
            "telephone_number": "404-580-9200",
            "fax_number": "678-593-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON GODWIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "404-580-9200"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "58475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.