Gisella E Godoy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24028 Issued in SC

Practice address

501 W Butler Ave
Saluda, SC 29138-1313

Phone

(864) 445-2250

Fax

(864) 445-7332

NPI assigned

Dec 28, 2005

Last updated

Nov 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology, Pediatric Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emmanuel Family Clinic-SaludaGroup PAC ID 9234296955, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gisella.godoy@4258.securemail.prognocis.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Emmanuel Family Clinic-Saluda

  • Family Medicine Physician
  • Saluda, SC
  • NPI 1215914676

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

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.

• Emmanuel Family Clinic-Saluda

  • Family Medicine Physician
  • Saluda, SC
  • NPI 1215914676
  Medicare reassignment Care Compare group NPD
• Jorge O Garcia, M.D., LLC

  dba Emmanuel Family Clinic

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1487630554
  NPD (past)
• Newberry County Memorial Hospital

  • General Acute Care Hospital
  • Newberry, SC
  • NPI 1134215148
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1821075185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W BUTLER AVE",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291381313",
            "telephone_number": "864-445-2250",
            "fax_number": "864-445-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BUTLER AVE",
            "city": "SALUDA",
            "state": "SC",
            "postal_code": "291381313",
            "telephone_number": "864-445-2250",
            "fax_number": "864-445-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "GISELLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "24028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3767",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Leighe English
• Gina Thompson Fingerlin, APRN
• Taylor Whittle Floyd, PHARMD
• Freds Stores of Tennessee Inc (Freds Pharmacy 2869)
• Franco B Godoy, M.D.
• Rosa L Gomez
• Deborah J Grate, MD
• Patricia W Griffith, MHS,RPT
• Susan Catherine Grinnell, COTA
• Bertina Hackett

• Family Medicine Physician in Saluda, SC
• Providers in Saluda, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.