Godwin Psychiatry P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GODWIN PSYCHIATRY P.A.

Practice address

2719 Graves Drive #19
#19
Goldsboro, NC 27534-4536

Phone

(919) 587-4051

Fax

(919) 580-1083

NPI assigned

Jun 16, 2022

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meredith Owen Godwin, MDNPI 1659571792

Title

Owner-Psychiatrist

Phone

(919) 587-4051

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meredith Owen Godwin, M.D.

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1659571792
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Anne Crandall, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilson, NC
  • NPI 1124776521
  Medicare reassignment Care Compare group NPD
• Allison Paugh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Goldsboro, NC
  • NPI 1629648068
  Medicare reassignment Care Compare group NPD
• Tricia Marie Greenwell

  • Medical Physician Assistant
  • Kinston, NC
  • NPI 1902240880
  Medicare reassignment

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1770213282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 GRAVES DRIVE #19",
            "address_2": "#19",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344536",
            "telephone_number": "919-587-4051",
            "fax_number": "919-580-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 GRAVES DRIVE #19",
            "address_2": "#19",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344536",
            "telephone_number": "919-587-4051",
            "fax_number": "919-580-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWIN PSYCHIATRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER-PSYCHIATRIST",
        "authorized_official_telephone_number": "919-587-4051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913116",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "270174",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy L Ginn, PT
• Jodel Giraud
• Christina L Gladman, LPN
• Lynnette Denise Gladney, LCSW
• Global Vision Support Services LLC
• Brandon Grant Godwin, FNP-C
• Denise Godwin
• Meredith Owen Godwin, M.D.
• Gold City Voice Therapy PLLC
• Gold Standard Nursing (Gold Standard Behavioral Health & Community Living)

• Psychiatry Physician in Goldsboro, NC
• Providers in Goldsboro, 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 Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.