Shea A. Godwin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

41486 Issued in KY

Practice address

250 Main St.
Suite E
Cadiz, KY 42211

Phone

(270) 522-6963

Fax

(270) 522-7231

NPI assigned

Oct 10, 2006

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Emergency MedicineAlso: Family Practice

Education

University of Kentucky College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Home Health of Western Kentucky Home health agency, Hopkinsville, KY, CCN 187300
• Caretenders Home health agency, Cadiz, KY, CCN 187159
• Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
• Trigg County Hospital Hospital, Cadiz, KY, CCN 181304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgodwin1028880@direct.deaconess.com

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.

• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Fep of Kentucky LLC

  • Emergency Medicine Physician
  • Hopkinsville, KY
  • NPI 1770266553
  Medicare reassignment NPD
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680

  Emergency Medicine

  Medicare reassignment NPD
• Shea Godwin MD PSC

  dba Godwin Family Practice

  • Primary Care Clinic/Center
  • Cadiz, KY
  • NPI 1881852317
  Authorized official Same address or phone
• Jennie Stuart Medical Center Inc

  • Family Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1790086767
  NPD
• Jennie Stuart Medical Center Inc

  dba Jennie Stuart Family Health

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1912627605
  NPD
• Trigg County Hospital, Inc

  dba Main Street Rural Health Clinic

  • Rural Health Clinic/Center
  • Cadiz, KY
  • NPI 1669103347

  Family Medicine

  NPD
• Jennie Stuart Medical Center

  dba Jennie Stuart Medical Center Home Health

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1538222500
  NPD (past)

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

• Gamma Acquisition, Inc.

  dba Lifeline Home Health of Western KY

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1851324297
  Care Compare affiliation
• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Care Compare affiliation
• Trigg County Home Health, Inc.

  dba Caretenders

  • Home Health Agency
  • Cadiz, KY
  • NPI 1770737728
  Care Compare affiliation
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1538257910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST.",
            "address_2": "SUITE E",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "42211",
            "telephone_number": "270-522-6963",
            "fax_number": "270-522-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST.",
            "address_2": "SUITE E",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "42211",
            "telephone_number": "270-522-6963",
            "fax_number": "270-522-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "SHEA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "41486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "41486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1538257910",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "41486",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100013780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1881852317",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE ORGANIZATION",
            "identifier": "1096567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Marie Garcia
• Gateway Foot and Ankle Center, PLC
• Gateway Foot and Ankle Center, PLC
• Lillian E Gierhart, ARNP
• Lauren Glynn, D.O.
• Graves County Health Department
• Michael L Gross, DMD
• H. Eduardo Pavon M.D.
• Sally Smith Hancock, PHARMD
• Stuart James Harris, M.D.

• Family Medicine Physician in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.