Gods Palace

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GODS PALACE

Practice address

1925 Astoria CT
Winston Salem, NC 27127-5834

Phone

(336) 729-5927

NPI assigned

Oct 15, 2025

Last updated

Oct 15, 2025By 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

Mr. Justin Lee Perry

Title

Member/Manager

Phone

(336) 729-5927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1346116456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "336-729-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASTORIA CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275834",
            "telephone_number": "336-729-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODS PALACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "336-729-5927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M. Goddard, NP
• Godel & Associates PLLC (Winston Salem Family Dental Care)
• Godel & Associates PLLC
• Natalie Godfrey, M.S., CCC-SLP
• Richard Kohlstadt Godine, PA-C
• Bethany Godwin, LPC
• Kellan Godwin
• Robert Michael Goecker, D.P.M., FACFAS
• Lindsey Wright Goeres, M.D.
• David Calvin Goff Jr., MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.