CLARENCE LAMAR GODFREY PAAA
NPI 1407189194
Anesthesiologist Assistant in Marietta, GA

Q: What is Clarence Godfrey's NPI number?

The NPI number for Clarence Godfrey is 1407189194. It was assigned to this individual provider in the NPPES registry on September 12, 2009.

Q: What is Clarence Godfrey's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Clarence Godfrey was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since September 12, 2009Accepts Medicare Assignment

2540 WINDY HILL RD SE, MARIETTA, GA 30067(470) 644-1274 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarence Lamar Godfrey Paaa NPPES

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

CLARENCE LAMAR GODFREY PAAA (NPI 1407189194) is an individual anesthesiologist assistant in Marietta, Georgia, licensed in Georgia (005632) and active in the NPI registry since September 2009. He is affiliated with Northside Hospital, maintains a secondary practice location in Atlanta, and is a graduate of Emory University School Of Medicine (2009).

NPPES Registry Identity

NPI1407189194

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameCLARENCE LAMAR GODFREYCredential: PAAA

Location Address2540 WINDY HILL RD SEMarietta, GA 30067-8605

Mailing Address3155 N Point Pkwy, Building F, Suite 100Alpharetta, GA 30005-5481 · (770) 645-9181 · Fax (770) 645-8455

Phone(470) 644-1274

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2009

Enumeration DateSeptember 12, 2009

Last NPPES UpdateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1407189194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 005632

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

2540 WINDY HILL RD SE, Marietta, GA 30067

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Secondary Practice Location 1

Location 11000 Johnson Ferry Rd NEAtlanta, GA 30342-1606 · Phone (770) 645-9181 · Fax (770) 645-8455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.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

Clarence Lamar Godfrey Paaa 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 ID7012056906

PECOS Enrollment IDI20091207000294

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

26%43 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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