Individual provider Active NPI

James Edward Godwin Jr., M.D.

  • Nephrology Physician
  • Cary, NC
National Provider Identifier
1497783856
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
9300705 Issued in NC
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

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804001066 NC Practitioner - NephrologyPractitioner - Internal Medicine 1456243419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Nephrology PA Nephrology CurrentSince Jan 1, 2017 Accepting new patients
North Carolina Nephrology PA Nephrology CurrentSince Jan 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.