Active NPI
Robert Godsall, PHD
- Physical Medicine & Rehabilitation Physician
- Atlanta, GA
National Provider Identifier
1740209865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 002059
- Practice address
- 2020 Peachtree Rd NW
Atlanta, GA 30309-1426 - Phone
- (866) 327-2166
- Fax
- (404) 350-7694
- NPI assigned
- Jul 19, 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 002059 | GA | Primary |
Addresses
Primary practice location
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Mailing address
2020 Peachtree Rd NW
Atlanta, GA 30309-1426
Phone (404) 350-7323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002059 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1740209865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091426",
"telephone_number": "404-350-7323",
"fax_number": "404-350-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091426",
"telephone_number": "866-327-2166",
"fax_number": "404-350-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODSALL",
"first_name": "ROBERT",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "002059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.