Bethel U Godwins

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RM186487 Issued in GA

Practice address

1136 Cleveland Ave Ste 615
East Point, GA 30344-3618

Phone

(404) 254-5388

Fax

(404) 565-1255

NPI assigned

Nov 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHHJBD
• FHIR API: https://fhir4.healow.com/fhir/r4/JHHJBD/Endpoint/JHHJBD

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.

• First Lithonia Medical Center Inc

  • Family Medicine Physician
  • Lithonia, GA
  • NPI 1427244698
  Medicare reassignment NPD
• Godwins Family Care LLC

  • In Home Supportive Care Agency
  • Acworth, GA
  • NPI 1710678339
  NPD Authorized official

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510963200000",
    "number": "1902310568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 BAKER PLANTATION WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016218",
            "telephone_number": "404-246-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE STE 615",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-254-5388",
            "fax_number": "404-565-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWINS",
        "first_name": "BETHEL",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-18",
        "last_updated": "2017-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RM186487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Claire Gibbs
• Ulric Gilkes
• Austin Campbell Gitomer, MD
• Kandasha Glenn
• Karim B Godamunne, MD
• Vinaya Gokki, MD
• Gold Star Transportation Services, LLC
• Golden Standard Care Partners
• Yalanda Lavette Golphin, LCC
• Grace Medical Practice LTD

• Family Nurse Practitioner in East Point, GA
• Providers in East Point, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.