1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Nurse Practitioner
  6. NPI Profile

THOMAS DALE GODFREY GNP
NPI 1235543281
Nurse Practitioner - Gerontology in Greenville, SC

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
1005 GROVE RD, GREENVILLE, SC 29605(864) 455-6900(864) 255-5619 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, May 7, 2021 (2 updates tracked since 2021).

About Thomas Dale Godfrey Gnp NPPES

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

THOMAS DALE GODFREY GNP (NPI 1235543281) is an individual gerontology provider in Greenville, South Carolina, licensed in South Carolina (18871) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1235543281
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameTHOMAS DALE GODFREYCredential: GNP
Location Address1005 GROVE RDGreenville, SC 29605-4630
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Phone(864) 455-6900
Fax(864) 255-5619
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 18, 2014
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1235543281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in SC · 18871
1005 GROVE RD, Greenville, SC 29605
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP2851SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Dale Godfrey Gnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496793788
PECOS Enrollment IDI20140908000761
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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 20

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

GINA ELISE FULTON NP
Nurse Practitioner (Gerontology)
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
ERIK ALAN PREHEIM PHARMD
Pharmacist (Ambulatory Care)
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
JORDAN GAUCHER STANSELL
Physician Assistant
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
JOSEPH ANDREW MANFREDI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
KAREN MARIE CAIN APRN
Nurse Practitioner (Gerontology)
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
JESSICA DANIELLE GRIFFITHS
Physician Assistant
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
DR. CHRISTOPHER CHARLES ASUZU MD
Internal Medicine (Cardiovascular Disease)
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 455-6900
OAKTREE MEDICAL CENTRE, PC
Clinic/Center (Multi-Specialty)
1005 GROVE RD
GREENVILLE, SC 29605
Greenville County (864) 404-3096

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 Thomas Godfrey's NPI number?

The NPI number for Thomas Godfrey is 1235543281. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Thomas Godfrey located?

Thomas Godfrey practices at 1005 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-6900.

What is Thomas Godfrey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Thomas Godfrey enrolled in Medicare?

Yes. Thomas Godfrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Godfrey accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Thomas Godfrey 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 Thomas Godfrey was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.