Individual provider Active NPI

Megan Godwin, FNP-C

  • Family Nurse Practitioner
  • Elkton, FL
National Provider Identifier
1942092580
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040233 Issued in FL
Practice address
5477 Cypress Links Blvd
Elkton, FL 32033-4021
Phone
(904) 669-7735
NPI assigned
May 20, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11040233 FL Primary

Addresses

Primary practice location

5477 Cypress Links Blvd
Elkton, FL 32033-4021

Mailing address

5477 Cypress Links Blvd
Elkton, FL 32033-4021
Phone (904) 669-7735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20251114003308 FL Practitioner - Nurse Practitioner 3870084031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians

Practice addresses (Care Compare)

100 Whetstone PL
Suite 208
St Augustine, FL 32086-5775
Phone (904) 447-7377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11040233FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dover Shores Family Practice CurrentSince Nov 1, 2025 Accepting new patients
Traditions Family Medicine, LLC CurrentSince Nov 1, 2025 Accepting new patients
Vitality Ageless Center LLC CurrentSince Sep 1, 2025 Accepting new patients
Primary Care Specialists of Orlando LLC Current Accepting new patients

Locations

4711 Curry Ford Rd
Ste B
Orlando, FL 32812
Phone (407) 275-6810

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

100 Whetstone Pl
Ste 208
St Augustine, FL 32086
Phone (904) 447-7377

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

Interoperability endpoints

  • Direct secure messaging: megan.godwin.1@31553.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1942092580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5477 CYPRESS LINKS BLVD",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320334021",
            "telephone_number": "904-669-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5477 CYPRESS LINKS BLVD",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320334021",
            "telephone_number": "904-669-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "MEGAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, FL

Sources for this page

Verify at the official NPI Registry.