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ROSE GODWIN SUPPORT SERVICES, INC
NPI 1053890111
Nurse Practitioner - Psychiatric/Mental Health in Beltsville, MD

Active since August 09, 2018
11226 CHERRY HILL RD APT 302, BELTSVILLE, MD 20705(301) 907-1700(877) 714-8747 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2019, Aug 9, 2018 (2 updates tracked since 2018).

About Rose Godwin Support Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE GODWIN SUPPORT SERVICES, INC (NPI 1053890111) is a healthcare organization registered as a psychiatric/mental health in Beltsville, Maryland and active in the NPI registry since August 2018. The organization lists Ayo Okoro, President, as its authorized official.

NPPES Registry Identity

NPI1053890111
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameROSE GODWIN SUPPORT SERVICES, INC
Location Address11226 CHERRY HILL RD APT 302Beltsville, MD 20705-3831
Mailing Address11226 Cherry Hill Rd Apt 302Beltsville, MD 20705-3831 · (301) 907-1700 · Fax (877) 714-8747
Phone(301) 907-1700
Fax(877) 714-8747
Organization SubpartNo
Authorized OfficialAyo OkoroPresident · (301) 907-1700
Enumeration DateAugust 9, 2018
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1053890111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
11226 CHERRY HILL RD APT 302, Beltsville, MD 20705
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Godwin Support Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Rose Godwin Support Services, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ayo Okoro, FAMILY NURSE PRACTIT
Nurse Practitioner
NPI 1972841856
14625 BALTIMORE AVENUE SUITE 327
Laurel, MD 20707
(301) 256-8766
✔ PECOS✔ Accepts Medicare6.2 mi
Rasidat Akinyemi, FNP
Nurse Practitioner
NPI 1134013626
9303 LAVALL DR
Upper Marlboro, MD 20774
(240) 413-9253
✔ PECOS9.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Godwin Support Services, Inc's NPI number?

The NPI number for Rose Godwin Support Services, Inc is 1053890111. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is Rose Godwin Support Services, Inc located?

Rose Godwin Support Services, Inc is located at 11226 Cherry Hill Rd Apt 302, Beltsville, MD 20705. The listed phone number is (301) 907-1700.

What is Rose Godwin Support Services, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rose Godwin Support Services, Inc enrolled in Medicare?

Yes. Rose Godwin Support Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Godwin Support Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Rose Godwin Support Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rose Godwin Support Services, Inc was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.