Individual provider Active NPI

Will Godfrey, PA-C

  • Medical Physician Assistant
  • Clinton, SC
National Provider Identifier
1861844979
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2577 Issued in SC
Practice address
22725 Highway 76 E
Clinton, SC 29325-7527
Phone
(864) 833-9100
NPI assigned
Jul 13, 2016
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2577 SC Primary

Addresses

Primary practice location

22725 Highway 76 E
Clinton, SC 29325-7527

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6307

Other practice location 1

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-7025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wgodfrey221042@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160823002786 SC Practitioner - Physician Assistant 6406141936 Reassigns benefits to 7 organizations
I20190910002479 NC Practitioner - Physician Assistant 6406141936

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2577SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jul 25, 2016 Accepting new patients
Greenville Health System CurrentSince Jul 25, 2016 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 4, 2021 Accepting new patients
Baptist Easley CurrentSince Jul 25, 2016 Accepting new patients
Pelham Medical Center CurrentSince Jan 4, 2021 Accepting new patients
Prisma Health-Upstate CurrentSince Aug 23, 2017 Accepting new patients
Vein Center at Allure Medical Spa, PLLC CurrentSince Sep 5, 2018 Accepting new patients
Greenville Health System CurrentSince Jul 25, 2016 Accepting new patients
Prisma Health-Upstate CurrentSince Aug 23, 2017 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Spartanburg Medical Center CurrentSince Jan 4, 2021 Accepting new patients
Pelham Medical Center CurrentSince Jan 4, 2021 Accepting new patients
Village Hospital Past Accepting new patients
Carolina Mountain Internal Medicine PastSince Mar 21, 2021 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

369 Halton Rd
Greenville, SC 29607
Phone (864) 235-9008

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1650 Skylyn Dr
#340
Spartanburg, SC 29307

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: wgodfrey221042@direct-srhs.et0939.epichosted.com

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1861844979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-7025",
            "fax_number": "864-560-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "WILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wgodfrey221042@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wgodfrey221042@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.