Individual provider Active NPI

Erin Kelly Godin, APRN

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1326456211
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18852 Issued in SC
Practice address
9313 Medical Plaza Dr Ste 202
Charleston, SC 29406
Phone
(843) 572-1200
Fax
(843) 553-0424
NPI assigned
Jul 24, 2014
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 18852 SC Primary

Addresses

Primary practice location

9313 Medical Plaza Dr Ste 202
Charleston, SC 29406

Mailing address

PO Box 530062
Atlanta, GA 30353-0062
Phone (843) 572-1200

Other names 1

  • Erin Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20140930000185 SC Practitioner - Nurse Practitioner 1658591466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 18, 2018 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Jun 18, 2018 Accepting new patients
Gray's Pain Relief Center, LLC PastSince Jul 5, 2014 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

776 Daniel Ellis Dr
Ste 1B
Charleston, SC 29412
Phone (843) 795-0300

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

9313 Medical Plaza Dr
Ste 202
North Charleston, SC 29406
Phone (843) 572-1200

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1326456211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-572-1200",
            "fax_number": "843-553-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR STE 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-1200",
            "fax_number": "843-553-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "ERIN",
        "middle_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.