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DR. MITCHEL S GODAT D.D.S.
NPI 1174652671
Dentist - Periodontics in Memphis, TN

Active since March 02, 2007Opted out of Medicare · through Jun 21, 2028
6268 POPLAR AVE, MEMPHIS, TN 38119(901) 761-3770(901) 761-3775 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitchel S Godat D.d.s. NPPES

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

DR. MITCHEL S GODAT D.D.S. (NPI 1174652671) is an individual periodontics provider in Memphis, Tennessee, licensed in Tennessee (7731) and active in the NPI registry since March 2007. He has opted out of Medicare through June 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174652671
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MITCHEL S GODATCredential: D.D.S.
Location Address6268 POPLAR AVEMemphis, TN 38119-4713
Mailing Address6268 Poplar AveMemphis, TN 38119-4713 · (901) 761-3770 · Fax (901) 761-3775
Phone(901) 761-3770
Fax(901) 761-3775
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174652671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TN · 7731
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6268 POPLAR AVE, Memphis, TN 38119
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Mitchel S Godat D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 21, 2016 through June 21, 2028.

Opt-Out Effective DateJune 21, 2016
Opt-Out In Effect ThroughJune 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERIODONTAL ASSOCIATES OF MEMPHIS
Dentist (Periodontics)
6268 POPLAR AVE
MEMPHIS, TN 38119
Shelby County (901) 761-3770
DR. ROGER D CRADDOCK D.D.S.
Dentist (Periodontics)
6268 POPLAR AVE
MEMPHIS, TN 38119
Shelby County (901) 761-3770
DR. LESLEY H BINKLEY JR. D.D.S.
Dentist (Periodontics)
6268 POPLAR AVE
MEMPHIS, TN 38119
Shelby County (901) 761-3770
DR. GRANT THOMAS KING D.D.S., M.D.S.
Dentist (Periodontics)
6268 POPLAR AVE
MEMPHIS, TN 38119
Shelby County (901) 761-3770
DR. PRESTON D MILLER JR.
Dentist (Periodontics)
6268 POPLAR AVE
MEMPHIS, TN 38119
Shelby County (901) 761-3770

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 Mitchel Godat's NPI number?

The NPI number for Mitchel Godat is 1174652671. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Mitchel Godat located?

Mitchel Godat practices at 6268 Poplar Ave, Memphis, TN 38119. The listed phone number is (901) 761-3770.

What is Mitchel Godat's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Mitchel Godat enrolled in Medicare?

No. Mitchel Godat has opted out of Medicare through June 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mitchel Godat accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mitchel Godat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchel Godat was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.