Christy Lea Godbee-Awe, PA-C
Individual provider Active NPI Physician Assistant · Havelock, NC
NPI 1265583835 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1265583835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 4389 Beaufort Rd
Havelock, NC 28532 - Phone
- (252) 466-2095
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120119000848 | FL | Practitioner - Physician Assistant | 4587831227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| Millennium Physician Group LLC | Current |
Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
4389 Beaufort Rd
Havelock, NC 28532
Mailing address
4389 Beaufort Rd
Havelock, NC 28532
Phone (252) 466-2095
Other providers in Havelock, NC
- Andrew Geddes
- Beulah George
- Gerald L. Coates, Jr., DMD, PA
- Steven Gillenwater
- Kristina Gintautiene
- Charles Clifton Griffin II
- Jessica Guelich
- Audrey Hahn
- Alexa Hairr
- Constance Hall
All providers in Havelock, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.