Individual provider Active NPI

Vincent Cody Godinich, MD

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1588292049
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
337011 Issued in LA
Practice address
7551 Youree Dr Ste 11
Shreveport, LA 71105-5533
Phone
(318) 642-9282
NPI assigned
Mar 31, 2020
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 337011 LA Primary

Addresses

Primary practice location

7551 Youree Dr Ste 11
Shreveport, LA 71105-5533

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
2524879MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vincent.godinich.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230811001066 LA Practitioner - Family Practice 6204266711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

7551 Youree Dr
Suite 11
Shreveport, LA 71105-5533
Phone (318) 642-9282

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337011LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (la) PC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Centerwell Senior Primary Care (la) PC Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Centerwell Senior Primary Care (la) PC Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

4101 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 446-1390

7551 Youree Dr
Ste 11
Shreveport, LA 71105
Phone (318) 642-9282

Interoperability endpoints

  • Direct secure messaging: vincent.godinich@centerwell.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1588292049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 YOUREE DR STE 11",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055533",
            "telephone_number": "318-642-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINICH",
        "first_name": "VINCENT",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "337011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524879",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vincent.godinich.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7551 Youree Dr Ste 11",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.