MR. CHARLIE E. GODFREY (NPI# 1558427419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558427419 |
| Entity Type | Individual |
| Full Name | MR. CHARLIE E. GODFREY |
| Credential | A.P.R.N. |
| Practice Address |
206 S Patterson St Valdosta GA 31601-5668 |
| Mailing Address |
3707 Fern Bank Rd Valdosta GA 31601-2754 |
| Practice Telephone | 2293335257 |
| Practice Fax Number | 2293337822 |
| Mailing Telephone | 2295594189 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN044631 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000440184C | 05 | |
| GA | 000440184A | 05 | |
| GA | 00044018B | 05 |
| Street Address |
206 S PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-5668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376638312 | Sherby Brown | Nurse Practitioner | 206 S Patterson St, Valdosta, GA 31601-5668 | 2006-10-04 |
| 1750914586 | Jennifer Lynn Baldivia | Case Manager/Care Coordinator | 206 S Patterson St, Valdosta, GA 31601-5668 | 2020-02-20 |
| 1538657986 | Wendy Golden | Case Manager/Care Coordinator | 206 S Patterson St, Valdosta, GA 31601-5668 | 2018-05-01 |
| 1104221308 | Etrenda Connell | Registered Nurse | 206 S Patterson St, Third Floor, Valdosta, GA 31601-5668 | 2014-10-30 |
| 1205189768 | Jessie Marie Judkins | Case Manager/Care Coordinator | 206 S Patterson St, Valdosta, GA 31601-5668 | 2012-10-22 |
| 1154696573 | Mary Gerber | Dietitian, Registered | 206 S Patterson St, Valdosta, GA 31601-5668 | 2012-03-19 |
| 1891098935 | Barbara Jane Carter | Speech-Language Pathologist | 206 S Patterson St, Valdosta, GA 31601-5668 | 2010-12-12 |
| 1740304823 | Lynn Rae Bell | Dietitian, Registered | 206 S Patterson St, Valdosta, GA 31601-5668 | 2007-03-16 |
| 1295899524 | South Health District | Public Health or Welfare | 206 S Patterson St, Valdosta, GA 31601-5668 | 2006-12-21 |
| 1124195672 | Debra Ann Adams | Nurse Practitioner | 206 S Patterson St, Valdosta, GA 31601-5668 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
| 1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
| 1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| 1316248560 | L&r Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Sharper Circle, Valdosta, GU 31601 | 2010-11-04 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| Find all providers in zip 31601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017368 | Katrina Terrell Horne | Nurse Practitioner | 15 Pinetree Cir, Valdosta, GA 31601-6256 | 2020-09-11 |
| 1669009585 | Cindy Renee James | Nurse Practitioner | 2517 Bemiss Rd Ste F, Valdosta, GA 31602-1900 | 2020-03-23 |
| 1629602776 | Jennifer Lynn Cason | Nurse Practitioner | 406 Northside Dr Ste M, Valdosta, GA 31602-1853 | 2020-02-27 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1447715529 | Amanda Brunetto | Nurse Practitioner | 2418 N Oak St Ste J, Valdosta, GA 31602-2575 | 2019-02-04 |
| 1639640436 | Brad Jay Jones | Nurse Practitioner | 470 Lazy River Dr, Valdosta, GA 31602-8245 | 2018-12-06 |
| 1396215703 | James Robert Garrett | Nurse Practitioner | 3790 Old Us Highway 41 N Ste B, Valdosta, GA 31602-6866 | 2018-11-28 |
| 1508350661 | Iulian Vuc | Nurse Practitioner | 2922 N Oak St Ste A, Valdosta, GA 31602-1885 | 2018-06-21 |
| 1346732617 | Catherine Mashburn Price | Nurse Practitioner | 3116 N Oak Street Ext Ste B, Valdosta, GA 31602-1007 | 2018-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.