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ASHLEY GODFREY NP-C
NPI 1316485865
Nurse Practitioner - Family in Dora, AL

Active since February 04, 2017PECOS EnrolledAccepts Medicare Assignment
65.9/100
CMS Quality Rating
2391 HIGHWAY 78, DORA, AL 35062(205) 255-7052 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2019, Feb 4, 2017 (2 updates tracked since 2017).

About Ashley Godfrey Np-c NPPES

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

ASHLEY GODFREY NP-C (NPI 1316485865) is an individual family provider in Dora, Alabama, licensed in Alabama (1-144804) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316485865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY GODFREYCredential: NP-C
Location Address2391 HIGHWAY 78Dora, AL 35062-5233
Mailing Address506 Lynn CircleMount Olive, AL 35117 · (205) 504-0550
Phone(205) 255-7052
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 4, 2017
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
✔ NPI 1316485865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-144804
2391 HIGHWAY 78, Dora, AL 35062
Open in Google Maps ↗

Secondary Practice Location 1

Location 1125 20th St SBirmingham, AL 35233-2019 · Phone (205) 801-5566

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Godfrey Np-c 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 ID6406128990
PECOS Enrollment IDI20170817003205
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Ashley Godfrey reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC.
22 mi
Multi-Specialty
619 19TH STREET SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1093768723 (205) 934-6600
Cullman Regional Medical Center, Inc
34 mi
General Acute Care Hospital
1912 AL HIGHWAY 157
Cullman, AL 35058
  • Reassigned Medicare billing, Alabama enrollment
  • 31 clinicians in this Medicare group
NPI 1114919339 (256) 737-2000
Cullman Regional Medical Group Hospitalists LLC
34 mi
Hospitalist
1912 AL HIGHWAY 157
Cullman, AL 35058
  • Reassigned Medicare billing, Alabama enrollment
  • 45 clinicians in this Medicare group
NPI 1023642568 (256) 735-5071
Crmc Medical Group LLC
34 mi
Multi-Specialty
1948 AL HIGHWAY 157 STE 450
Cullman, AL 35058
  • Reassigned Medicare billing, Alabama enrollment
  • 87 clinicians in this Medicare group
NPI 1467083675 (256) 735-5075
Baptist Health Centers, LLC
45 mi
Health Service
644 TAHOE RD
Winfield, AL 35594
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
NPI 1265496236 (205) 510-5000
Hospital Physician Services - Southeast Professional Corporation
191 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Alabama enrollment
  • 428 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
190 services180 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35062 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.94
Improvement Activities0
Cost83.99

Other Providers at the Same Location NPPES

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

MRS. LACEY STARR GRAHAM CRNP
Nurse Practitioner (Family)
2391 HIGHWAY 78
DORA, AL 35062
Walker County (205) 255-7052

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 Ashley Godfrey's NPI number?

The NPI number for Ashley Godfrey is 1316485865. It was assigned to this individual provider in the NPPES registry on February 4, 2017.

Where is Ashley Godfrey located?

Ashley Godfrey practices at 2391 Highway 78, Dora, AL 35062. The listed phone number is (205) 255-7052.

What is Ashley Godfrey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Godfrey enrolled in Medicare?

Yes. Ashley 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.

Which organizations bill Medicare for Ashley Godfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Godfrey reassigns Medicare benefits to 6 organizations: University Of Alabama Health Services Foundation, PC. (Birmingham, AL), Cullman Regional Medical Center, Inc (Cullman, AL), Cullman Regional Medical Group Hospitalists LLC (Cullman, AL), Crmc Medical Group LLC (Cullman, AL), Baptist Health Centers, LLC (Winfield, AL) and 1 more organization, listed in the Medicare section above. Each 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 Ashley Godfrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Godfrey accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Ashley 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 Ashley Godfrey was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.