Kathryn Michelle Godly, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-03453 Issued in NC

Practice address

1800 Martin Luther King Pkwy Ste 100
Durham, NC 27707

Phone

(919) 578-2323

Fax

(833) 264-1971

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1336474907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54 STE 125",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075578",
            "telephone_number": "919-578-2323",
            "fax_number": "833-264-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MARTIN LUTHER KING PKWY STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-578-2323",
            "fax_number": "833-264-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Martin Luther King Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "919-578-2323",
            "fax_number": "833-264-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODLY",
        "first_name": "KATHRYN",
        "middle_name": "MICHELLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Godfrey, PA-C
• Erin Godfrey, RN
• Jess Gilliam Godfrey, PT
• Rebecca Louise Jepson Godfrey, MSW
• Carlisle Brendan Godley, DO
• Makayla Elizabeth Godshall, OTR/L
• Lea Anna Godwin-Tart, PA-C
• Alice Lynn Godwin, MSW, LCSWA, LCAS
• Cherith Godwin
• Haleigh Brook Godwin

• Medical Physician Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.