Diangelo Godwin
Individual provider Active NPI Home Health Aide · Rex, GA
NPI 1396692018 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1396692018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- PHCP044723 (GA)
- Practice address
- 6947 Diamond Dr
Rex, GA 30273-2496 - Phone
- (404) 287-3493
- NPI assigned
- Mar 12, 2026
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCP044723 | GA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Haven Helpers | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | PHCP044723 | GA | Yes |
Addresses
Primary practice location
6947 Diamond Dr
Rex, GA 30273-2496
Mailing address
6947 Diamond Dr
Rex, GA 30273-2496
Phone (404) 287-3493
Other providers in Rex, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.