Individual provider Active NPI

Terina Godwin, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1649799313
Registry record updated Jan 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9309027 Issued in FL
Practice address
401 E Chase St Ste 200
Pensacola, FL 32502-6160
Phone
(850) 476-0628
Fax
(850) 475-1313
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9309027 FL
Family Nurse Practitioner 363LF0000X APRN9309027 FL Primary

Addresses

Primary practice location

401 E Chase St Ste 200
Pensacola, FL 32502-6160

Mailing address

27421 Park Dr
Unit a
Orange Beach, AL 36561-3957
Phone (251) 359-1410

Other practice location 1

27189 Park Dr
Orange Beach, AL 36561-3951
Phone (251) 359-1410

Other practice location 2

7406 Fullerton St
Jacksonville, FL 32256-3552
Phone (904) 538-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504000821 FL Practitioner - Nurse Practitioner 5092079780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9309027FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pophealthcare, LLC CurrentSince Dec 16, 2024 Accepting new patients
Pophealthcare, LLC Family CurrentSince Dec 16, 2024 Accepting new patients

Locations

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

7406 Fullerton St
Ste 200
Jacksonville, FL 32256
Phone (800) 793-7050

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • Direct secure messaging: terina.godwin.1@29290.direct.athenahealth.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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1649799313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27421 PARK DR",
            "address_2": "UNIT A",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613957",
            "telephone_number": "251-359-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHASE ST STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026160",
            "telephone_number": "850-476-0628",
            "fax_number": "850-475-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27189 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Orange Beach",
            "state": "AL",
            "postal_code": "365613951",
            "country_code": "US",
            "telephone_number": "251-359-1410",
            "fax_number": "251-359-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7406 Fullerton St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322563552",
            "country_code": "US",
            "telephone_number": "904-538-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "TERINA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9309027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9309027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.