Active NPI
James Edward Godwin Jr., M.D.
- Nephrology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 9300705
- Practice address
- 790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678 - Phone
- (919) 231-3966
- Fax
- (919) 859-5813
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 9300705 | NC | Primary |
Addresses
Primary practice location
790 SE Cary Pkwy
Suite 101
Cary, NC 27511-5678
Mailing address
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7213
Phone (919) 231-3966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Nephrology PA | Nephrology | Current | Accepting new patients |
| North Carolina Nephrology PA | Nephrology | Current | Accepting new patients |
Locations
160 Macgregor Pines Dr
Ste 301
Cary, NC 27511
Phone (800) 957-9242
790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644
916 S Main St
Ste 240
Fuquay Varina, NC 27526
Phone (919) 235-0644
3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244
3604 Bush St
Raleigh, NC 27609
3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409
3031 New Bern Ave
Ste 200
Raleigh, NC 27610
Phone (919) 747-7820
2824 Rogers Rd
Ste 104
Wake Forest, NC 27587
Interoperability endpoints
- james.godwinjr.p123@direct.aac.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Raleigh, NC
- NPI 1750835336
-
- Nephrology Physician
- Cary, NC
- NPI 1811492663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1497783856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 BARRETT DR STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097213",
"telephone_number": "919-231-3966",
"fax_number": "919-231-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 SE CARY PKWY",
"address_2": "SUITE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275115678",
"telephone_number": "919-231-3966",
"fax_number": "919-859-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "9300705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.