SHANNON GODWIN (NPI# 1679060784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679060784 |
| Entity Type | Individual |
| Full Name | SHANNON GODWIN |
| Credential | FNP |
| Practice Address |
619 Jefferson St Whiteville NC 28472-3707 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9106420331 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5010460 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14508 James B White Hwy S, Tabor City, NC 284638358 | 9106537000 | |
| 619 Jefferson St, Whiteville, NC 284723707 | 9106420331 | |
| 711 Executive Pl, Fayetteville, NC 283055193 | 9106093700 | |
| 320 Jefferson St, Whiteville, NC 284723602 | 9106418600 |
| Street Address |
619 JEFFERSON ST |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568450682 | John David Hodgson | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2005-10-12 |
| 1518263268 | Columbus Regional Health Network | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2011-01-28 |
| 1992010094 | Waccamaw Primary Care Inc | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-08-12 |
| 1407188212 | John F Munroe Md, Pa | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-02-03 |
| 1316279128 | John D Hodgson Md, Pa | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-02-03 |
| 1407187057 | Richard C. Fleming, M.d., P.a. | Internal Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2010-01-21 |
| 1942474507 | Christy T Perdue Md Pa | Family Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2008-04-15 |
| 1013139096 | Jeffrey Clarke | Physician Assistant | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-05-02 |
| 1639229479 | Christy Perdue | Family Medicine | 619 Jefferson St, Whiteville, NC 28472-3707 | 2007-01-12 |
| 1841354560 | Jacqueline O'kane | Nurse Practitioner | 619 Jefferson St, Whiteville, NC 28472-3707 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639134059 | Robin J Rye | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2006-04-19 |
| 1962483032 | Thomas Lawson IIi | Nurse Practitioner | 701 Jefferson St, Whiteville, NC 28472-3704 | 2005-11-07 |
| 1275537037 | Amy R. Pharr | Nurse Practitioner | 706 N Thompson St, Whiteville, NC 28472-3428 | 2005-06-09 |
| 1982234399 | Ashlee Pinion-raby | Nurse Practitioner | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2020-01-24 |
| 1063056687 | Rachel Tedesco | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-11-06 |
| 1013567304 | Cassandra Schimmoeller | Nurse Practitioner | 36 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-09-18 |
| 1053877084 | Stephanie Tyner Jones | Nurse Practitioner | 304 Jefferson St, Whiteville, NC 28472-3602 | 2019-02-14 |
| 1548705049 | Sara Anne Davis Valasek | Nurse Practitioner | 630 S Madison St, Whiteville, NC 28472-4130 | 2016-12-20 |
| 1780138479 | Jennifer Dove | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2016-08-10 |
| 1457718868 | Susan Anderson | Nurse Practitioner | 320 Jefferson St, Whiteville, NC 28472-3602 | 2016-01-15 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
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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.