Active NPI
Jessica L Godbey, APRN
- Family Nurse Practitioner
- Saint Marys, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP001942
- Practice address
- 102 Lakeshore Dr Ste B
Saint Marys, GA 31558-3875 - Phone
- (912) 576-7546
- Fax
- (912) 576-2348
- NPI assigned
- Nov 18, 2022
- Last updated
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN11023144 | FL | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP001942 | GA | Primary |
| Registered Nurse | 163W00000X | RN9491954 | FL |
Addresses
Primary practice location
102 Lakeshore Dr Ste B
Saint Marys, GA 31558-3875
Mailing address
95170 Cornflower Dr
Fernandina Beach, FL 32034-0181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9491954 | FL | MD | Registered Nurse |
| GAA-NP001942 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Baptist Cardiology, Inc. | Nurse Practitioner | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125
201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821
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.
-
dba Baptist Heart Specialists
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1760751598
Nurse Practitioner
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
GA
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1851551121
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1942919857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95170 CORNFLOWER DR",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320340181",
"fax_number": "904-376-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LAKESHORE DR STE B",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583875",
"telephone_number": "912-576-7546",
"fax_number": "912-576-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODBEY",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-18",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11023144",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP001942",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9491954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 04206)
- Georgia Dental Affiliates, LLC (Coastal Oral Surgery Associates)
- Georgia Upper Cervical LLC
- Michala Gibson
- Caitlin Elizabeth Glaze
- Susan Lynn Goldsmith, MSN, FNP-BC
- Jessica Goldstein, RBT
- Elissa Michelle Gonzalez-Ogonowski
- Grace Family Healthcare
- Leticia T Graham, MSH, MPH, MSPC, LAPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- 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.