Joseph L. Godfrey, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9800255 Issued in NC

Practice address

100 Glenway St
Suite a
Belmont, NC 28012-3114

Phone

(704) 825-2599

Fax

(704) 825-2597

NPI assigned

Nov 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1588610471
  NPD

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1740262161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENWAY ST",
            "address_2": "SUITE A",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123114",
            "telephone_number": "704-825-2599",
            "fax_number": "704-825-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENWAY ST",
            "address_2": "SUITE A",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123114",
            "telephone_number": "704-825-2599",
            "fax_number": "704-825-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "JOSEPH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "9800255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740262161",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00255",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gastonresidential Services, Icf/Mr, Inc.
• Christopher Anthony Gazdik, MSW, ATOD, LCSW
• Claudina Ghianni, FNP
• Kenya Gleaton
• Marilyn G Glinka
• Golden Lotus Lactation LLC
• Emma Tart Gomez, LICENSE OPTICIAN
• Tyler Anna Gordon, DMD
• Ashley Goss, D.D.S.
• Kaitlin Shields Gotschalk, DMD

• Psychiatry Physician in Belmont, NC
• Providers in Belmont, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.