Timothy Watkins Godsey, DDS, MS, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5910 Issued in NC

Practice address

150 Providence Rd
Suite 200
Chapel Hill, NC 27514-2208

Phone

(919) 968-1778

Fax

(919) 408-0706

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• Chapel Hill Periodontics & Implants

  • Periodontics
  • Chapel Hill, NC
  • NPI 1558569350
  NPD (past) Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1275647802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 CRESCENT RIDGE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275165288",
            "telephone_number": "919-968-1778",
            "fax_number": "919-408-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROVIDENCE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142208",
            "telephone_number": "919-968-1778",
            "fax_number": "919-408-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODSEY",
        "first_name": "TIMOTHY",
        "middle_name": "WATKINS",
        "name_prefix": "Dr.",
        "credential": "DDS, MS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "5910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan John Godfrey, LCSW
• Jacob J Godfrey, PH.D.
• Tamara Faith Godfrey, MD
• Kelly Lence Godinho, LCSW
• Franco Bernard Godoy, MD
• Somotochukwu Godwin-Offor
• Amy M Goetzinger, PHD
• David A Goff, MD
• Megan N Goforth, P.A.
• Anisha Mahalya Gogerly-Moragoda

• Periodontics in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.