Anna Grace Godwin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110011659 Issued in VA

Practice address

20306 Badger LN
Onley, VA 23418-2001

Phone

(757) 414-0400

Fax

(757) 414-0569

NPI assigned

Aug 5, 2025

Last updated

Mar 13, 2026By the provider in NPPES

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

Enrolled in VA

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Rural Health System IncorporatedGroup PAC ID 2668380106, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Eastern Shore Rural Health System Incorporated

  dba Atlantic Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Church, VA
  • NPI 1043341613
  Medicare reassignment Care Compare group
• Eastern Shore Rural Health System Incorporated

  dba Atlantic Community Pharmacy

  • Community/Retail Pharmacy
  • Oak Hall, VA
  • NPI 1174224604
  NPD
• Eastern Shore Rural Health System Incorporated

  dba Eastville Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Eastville, VA
  • NPI 1396876975
  NPD
• Eastern Shore Rural Health System Incorporated.

  • Federally Qualified Health Center (FQHC)
  • Onancock, VA
  • NPI 1174502967
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Health Services Inc.

  dba Riverside Shore Memorial Hospital

  • Rural Acute Care Hospital
  • Onancock, VA
  • NPI 1619076916
  Care Compare affiliation

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1386528073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 BADGER LN",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "234182001",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25228 Lankford Highway",
            "address_purpose": "LOCATION",
            "city": "Onley",
            "state": "VA",
            "postal_code": "23418",
            "country_code": "US",
            "telephone_number": "757-414-0400 x1115",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17068 Lankford Highway",
            "address_purpose": "LOCATION",
            "city": "Eastville",
            "state": "VA",
            "postal_code": "23347",
            "country_code": "US",
            "telephone_number": "757-414-0400 x1115",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5219 Lankford Hwy",
            "address_purpose": "LOCATION",
            "city": "New Church",
            "state": "VA",
            "postal_code": "234153332",
            "country_code": "US",
            "telephone_number": "757-414-0400 x1115",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4049 Main St",
            "address_purpose": "LOCATION",
            "city": "Chincoteague",
            "state": "VA",
            "postal_code": "233362406",
            "country_code": "US",
            "telephone_number": "757-414-0400 x1115",
            "fax_number": "757-414-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Rural Health System Incorporated (Onley Community Pharmacy)
• Eastern Shore Rural Health System Incorporated (Onley Community Health Center)
• Eastern Shore Rural Health System Incorporated (ESRH Express Care)
• Heather Colleen Frisby, CPNP
• Lucas Allen Fussell, NP
• Deborah Carroll Gootee, PSYCHIATRIC NURSE PR
• Albert J Halls, M.D.
• Sandra Hearn, NP
• Thomas Hollandsworth, MD
• Victoria Renee Willis Houtrouw, PA-C

• Physician Assistant in Onley, VA
• Providers in Onley, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.