Anna Grace Godwin
Individual provider Active NPI Physician Assistant · Onley, VA
NPI 1386528073 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1386528073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110011659 (VA)
- Practice address
- 20306 Badger LN
Onley, VA 23418-2001 - Phone
- (757) 414-0400
- Fax
- (757) 414-0569
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Shore Rural Health System Incorporated
Practice addresses (Care Compare)
20306 Badger LN
Onley, VA 23418
Phone (757) 787-7374
Hospital & facility affiliations
- Riverside Shore Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20260316002059 | VA | Practitioner - Physician Assistant | 5496238651 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110011659 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Shore Rural Health System Incorporated | Current |
Accepting new patients | |
| Eastern Shore Rural Health System Incorporated | Current |
Accepting new patients | |
| Eastern Shore Rural Health System Incorporated. | Past | Accepting new patients |
Locations
4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682
5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676
20280 Market St
Onancock, VA 23417
Phone (757) 787-7374
25228 Lankford Hwy
Onley, VA 23418
Phone (757) 414-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110011659 | VA | Yes |
Addresses
Primary practice location
20306 Badger LN
Onley, VA 23418-2001
Mailing address
20280 Market St
Onancock, VA 23417-1331
Phone (757) 414-0400
Other practice location 1
25228 Lankford Highway
Onley, VA 23418
Phone (757) 414-0400 ext. 1115
Other practice location 2
17068 Lankford Highway
Eastville, VA 23347
Phone (757) 414-0400 ext. 1115
Other practice location 3
5219 Lankford Hwy
New Church, VA 23415-3332
Phone (757) 414-0400 ext. 1115
Other practice location 4
4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 414-0400 ext. 1115
Other providers in Onley, VA
- Eastern Shore Rural Health System Incorporated
- Eastern Shore Rural Health System Incorporated
- Eastern Shore Rural Health System Incorporated
- Heather Colleen Frisby
- Lucas Allen Fussell
- Deborah Carroll Gootee
- Albert J Halls
- Sandra Hearn
- Thomas Hollandsworth
- Victoria Renee Willis Houtrouw
All providers in Onley, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.