1. Home
  2. Directory
  3. North Carolina
  4. Durham
  5. Physician Assistant
  6. NPI Profile

KATHRYN MICHELLE GODLY P.A.
NPI 1336474907
Physician Assistant - Medical in Durham, NC

Active since October 15, 2009PECOS Enrolled
1800 MARTIN LUTHER KING PKWY STE 100, DURHAM, NC 27707(919) 578-2323(833) 264-1971 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2024, Apr 24, 2019 (2 updates tracked since 2019).

About Kathryn Michelle Godly P.a. NPPES

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

KATHRYN MICHELLE GODLY P.A. (NPI 1336474907) is an individual medical provider in Durham, North Carolina, licensed in North Carolina (0010-03453) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1336474907
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN MICHELLE GODLYCredential: P.A.
Location Address1800 MARTIN LUTHER KING PKWY STE 100Durham, NC 27707
Mailing Address1415 W Nc Highway 54 Ste 125Durham, NC 27707-5578 · (919) 578-2323 · Fax (833) 264-1971
Phone(919) 578-2323
Fax(833) 264-1971
Sole ProprietorNo
Enumeration DateOctober 15, 2009
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1336474907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-03453
1800 MARTIN LUTHER KING PKWY STE 100, Durham, NC 27707
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Martin Luther King Pkwy Ste 100Durham, NC 27707 · Phone (919) 578-2323 · Fax (833) 264-1971

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Michelle Godly P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

MOLLY ROSE MILLER PT, DPT
Physical Therapist
1800 MARTIN LUTHER KING PKWY STE 100
DURHAM, NC 27707
Durham County (919) 213-1388
LISA C. MANGINO PT, DPT, PCS, C/NDT
Physical Therapist
1800 MARTIN LUTHER KING PKWY STE 100
DURHAM, NC 27707
Durham County (919) 283-1055
PROJECT YES PLLC
Psychologist
1800 MARTIN LUTHER KING PKWY STE 100
DURHAM, NC 27707
Durham County (919) 355-5633
NEW CONNECTIONS PHYSICAL THERAPY LLC
Physical Therapist
1800 MARTIN LUTHER KING PKWY STE 100
DURHAM, NC 27707
Durham County (919) 283-1055

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 Kathryn Godly's NPI number?

The NPI number for Kathryn Godly is 1336474907. It was assigned to this individual provider in the NPPES registry on October 15, 2009.

Where is Kathryn Godly located?

Kathryn Godly practices at 1800 Martin Luther King Pkwy Ste 100, Durham, NC 27707. The listed phone number is (919) 578-2323.

What is Kathryn Godly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathryn Godly enrolled in Medicare?

Yes. Kathryn Godly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Godly was last updated on April 24, 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.