DR. JOSEPH EDWARD GODARD (NPI# 1760400394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760400394 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH EDWARD GODARD |
| Credential | M.D. |
| Practice Address |
400 Charter Blvd Macon GA 31210-4831 |
| Mailing Address |
4387 S Sea Mist Dr New Smyrna Beach FL 32169-4150 |
| Practice Telephone | 4787576030 |
| Practice Fax Number | 4787576037 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
039805 | GA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
039805 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
400 CHARTER BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31210-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306814231 | John W Hightower | Anesthesiology | 400 Charter Blvd, Macon, GA 31210-4831 | 2006-03-08 |
| 1013548494 | Chelsea Hayman | Registered Nurse | 400 Charter Blvd, Macon, GA 31210-4853 | 2020-02-04 |
| 1417509001 | Kristi Tucker Jones | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2019-07-12 |
| 1578035457 | Gloria Iris Smith | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4853 | 2018-12-17 |
| 1295219939 | Jennifer Dorough | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2018-09-19 |
| 1104326271 | Martha Katherine Lennington | Physician Assistant | 400 Charter Blvd, Macon, GA 31210-4831 | 2018-02-15 |
| 1316455751 | Cessalee Ann Swars | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2018-01-19 |
| 1578071387 | Jessica Danielle Olavarria | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2018-01-15 |
| 1235504192 | Charter Inpatient Services LLC | Nurse Practitioner | 400 Charter Blvd, Macon, GA 31210-4831 | 2015-12-03 |
| 1144693920 | Appleseed Emergency Physicians, LLC | Physician Assistant | 400 Charter Blvd, Macon, GA 31210-4831 | 2015-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
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| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
| 1104936467 | Robert J. Kaminski | Radiology | 4138 Shady Oaks Dr, Martinez, GA 30907-7917 | 2006-08-30 |
| 1003840026 | Fabio P Esteves | Radiology | 1364 Clifton Rd Ne Radiology, Atlanta, GA 30322-0001 | 2006-07-10 |
| 1801278031 | Islam Ahmed Shehata Elhelf | Radiology | 1120 15th St, Augusta, GA 30912-1009 | 2015-06-24 |
| 1477816551 | Harry William Schroeder IIi | Radiology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2012-06-22 |
| 1326206525 | George James Burke | Radiology | 1 Belton Ln, Savannah, GA 31411-1632 | 2008-05-26 |
| 1568529469 | G Paul Forsyth Md PC | Radiology | 200 Industrial Blvd, Dublin, GA 31021-2981 | 2007-01-02 |
| 1013015544 | Steven W Pruett | Radiology | 1104 Martha Berry Blvd Ne, Rome, GA 30165-1612 | 2006-09-20 |
| 1013923820 | Rome Imaging Associates | Radiology | 255 W 5th St Sw, Suite 150, Rome, GA 30165-2817 | 2006-08-01 |
| 1740201318 | Andrew Taylor | Radiology | 1364 Clifton Rd Ne, Radiology, Atlanta, GA 30322-1059 | 2006-07-21 |
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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.