Your Way Medical Health Care Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YOUR WAY MEDICAL HEALTH CARE CLINIC

Practice address

653 Roberts Dr Ste a-4
Riverdale, GA 30274-2959

Phone

(678) 361-2100

NPI assigned

Dec 3, 2025

Last updated

Feb 12, 2026By 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

Daisy Melinda King-Godineaux, FNPNPI 1144072273

Title

President

Phone

(678) 361-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daisy Melinda King-Godineaux, FNP

  • Family Nurse Practitioner
  • Austell, GA
  • NPI 1144072273
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1427911924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 ROBERTS DR STE A-4",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742959",
            "telephone_number": "678-361-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 ROBERTS DR STE A-4",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742959",
            "telephone_number": "678-361-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR WAY MEDICAL HEALTH CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "KING-GODINEAUX",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "MELINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-361-2100",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.