Carlie Godwin (NPI# 1801961172, PAC ID# 8921272394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1801961172 |
| PAC ID by PECOS | 8921272394 |
| Professional Enrollment ID | I20111121000512 |
| Full Name | Carlie Godwin |
| Organization Legal Name | CLAY COUNTY MEDICAL CORPORATION |
| Address |
969 Emergency Dr West Point Surgical Associates West Point MS 39773-9322 |
| Phone Number | 6624952308 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1977 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 4789649609 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250067 | CLAY COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 High St, West Point, MS 39773-2851 | 6628540694 | CLAY COUNTY MEDICAL CORPORATION |
| 150 Medical Ctr Dr, West Point, MS 39773-0428 | 6014942321 | CLAY COUNTY MEDICAL CORPORATION |
| 187 Medical Ctr Dr, West Point, MS 39773-0428 | 6624941509 | CLAY COUNTY MEDICAL CORPORATION |
| 969 Emergency Dr, West Point Surgical Associates, West Point, MS 39773-9322 | 6624952308 | CLAY COUNTY MEDICAL CORPORATION |
| 969 Emergency Dr, West Point, MS 39773-9322 | 6624952308 | CLAY COUNTY MEDICAL CORPORATION |
| 977 Emergency Dr, Clay County Medical Center, West Point, MS 39773-9322 | 6624944600 | CLAY COUNTY MEDICAL CORPORATION |
| 977 Emergency Dr, West Point, MS 39773-9322 | 6624944600 | CLAY COUNTY MEDICAL CORPORATION |
| Organization Legal Name | CLAY COUNTY MEDICAL CORPORATION |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hiroji Noguchi | General Surgery | Clay County Medical Corporation | 187 Medical Ctr Dr, West Point, MS 39773-0428 |
| Tammy L Pelegrin | Nurse Practitioner | Clay County Medical Corporation | 1205 Hwy 182 W, Clay County Medical Corporation, Starkville, MS 39759-9820 |
| Andrzej J Wartak | Internal Medicine | Clay County Medical Corporation | 977 Emergency Dr, Clay County Medical Center, West Point, MS 39773-9322 |
| Edmund A Miller | Internal Medicine | Clay County Medical Corporation | 70 Medical Plz, Eupora, MS 39744-4018 |
| William Ray Reed Jr. | Radiation Oncology | Clay County Medical Corporation | 1205 Hwy 182 W, Clay County Medical Corporation, Starkville, MS 39759-9820 |
| Sarah M Powell | Nurse Practitioner | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Melinda L Clark | Nurse Practitioner | Clay County Medical Corporation | 1205 Hwy 182 W, Clay County Medical Corporation, Starkville, MS 39759-9820 |
| Benjamin Hinton | Radiation Oncology | Clay County Medical Corporation | 1205 Hwy 182 W, Clay County Medical Corporation, Starkville, MS 39759-9820 |
| Andrew H Kellum | Hematology/oncology | Clay County Medical Corporation | 1205 Hwy 182 W, Clay County Medical Corporation, Starkville, MS 39759-9820 |
| Charles Montgomery | Medical Oncology | Clay County Medical Corporation | 1205 Hwy 182 W, Clay County Medical Corporation, Starkville, MS 39759-9820 |
| Street Address |
969 EMERGENCY DR WEST POINT SURGICAL ASSOCIATES |
| City | WEST POINT |
| State | MS |
| Zip | 39773-9322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla L Warner | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Stephanie B Lange | Nurse Practitioner | West Point Obgyn Pa | 116 Medical Ctr Dr, West Point, MS 39773-0428 |
| Hiroji Noguchi | General Surgery | Clay County Medical Corporation | 187 Medical Ctr Dr, West Point, MS 39773-0428 |
| William M Billington Jr. | Family Practice | 104 Medical Ctr Dr, West Point, MS 39773-0428 | |
| Sarah M Powell | Nurse Practitioner | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Erin A Barnes | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| John R Browning | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Obioma Ogbonna | Emergency Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Stacey S George | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Elisabeth Faith Hale | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Find all physicians in zip 39773 | |||
| City | WEST POINT |
| Zip Code | 39773 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | WEST POINT + CERTIFIED REGISTERED NURSE ANESTHETIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.