Active NPI
Debra K Godwin, NP
- Family Nurse Practitioner
- Kennesaw, GA
National Provider Identifier
1780670786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN059374
- Practice address
- 3825 Cherokee St NW
Kennesaw, GA 30144-2085 - Phone
- (770) 422-1400
- NPI assigned
- Sep 25, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN059374 | GA | Primary |
Addresses
Primary practice location
3825 Cherokee St NW
Kennesaw, GA 30144-2085
Mailing address
130 Soapstone Way
Canton, GA 30115-6683
Phone (770) 720-8686
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780670786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SOAPSTONE WAY",
"city": "CANTON",
"state": "GA",
"postal_code": "301156683",
"telephone_number": "770-720-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 CHEROKEE ST NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301442085",
"telephone_number": "770-422-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "DEBRA",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN059374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.