NPIMap

Individual provider Active NPI

Michael J Godard, DO

  • Emergency Medicine Physician
  • Roxboro, NC
National Provider Identifier
1851354229
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9900054 Issued in NC
Practice address
615 Ridge Rd
Roxboro, NC 27573-4629
Phone
(843) 237-3378
Fax
(843) 237-5073
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9900054 NC Primary
Family Medicine Physician 207Q00000X 9900054 NC

Addresses

Primary practice location

615 Ridge Rd
Roxboro, NC 27573-4629

Mailing address

PO Box 30727
Charlotte, NC 28230-0727
Phone (843) 237-3378

Other identifiers 4

IdentifierTypeStateIssuer
930100502OtherNCRAILROAD
1223COtherNCBCBS
891223CMedicaidNC
Q00054MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061127000033 NC Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Internal Medicine 5799783999 Reassigns benefits to 2 organizations
I20120608000034 VA Practitioner - Family Practice 5799783999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed P.C. Family Medicine CurrentSince Mar 17, 2024 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jan 16, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 1, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jun 1, 2025 Accepting new patients
Texan Urgent Care PLLC Emergency Medicine Past Accepting new patients
Person Emergency Services PLLC Emergency Medicine Past Accepting new patients
Person Emergency Physicans PA Emergency Medicine Past Accepting new patients
Fastmed Primary Care, P.C. Family Medicine Past Accepting new patients
Neuse River Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Raleigh Durham Medical Group PA Family Medicine Past Accepting new patients
Roxboro Family Medicine & Immediate Family Medicine Past Accepting new patients

Locations

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

104 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 506-1720

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Medi Home Heatlh & HospiceRoxboro, NC, CCN 341563 Hospice Contracted Managing Employee Mar 22, 2024
Medi Home HospiceDanville, VA, CCN 491665 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1851354229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30727",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282300727",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 RIDGE RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734629",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODARD",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9900054",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930100502",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1223C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891223C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q00054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.