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KELLEY ERIN GODBOUT PA-C
NPI 1801426127
Physician Assistant in Winston Salem, NC

Active since January 26, 2020PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2011 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 25, 2021, Nov 5, 2020 and 1 more (4 updates tracked since 2020).

About Kelley Erin Godbout Pa-c NPPES

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

KELLEY ERIN GODBOUT PA-C (NPI 1801426127) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-10761) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and maintains a secondary practice location in Hickory.

NPPES Registry Identity

NPI1801426127
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLEY ERIN GODBOUTCredential: PA-C
Location Address1 MEDICAL CENTER BLVDWinston Salem, NC 27157-4963
Mailing Address5019 Olde Stone LnMatthews, NC 28104-3354
Phone(336) 716-2011
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 26, 2020
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1801426127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-10761
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 MEDICAL CENTER BLVD, Winston Salem, NC 27157
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Secondary Practice Location 1

Location 1844 Highland Ave SEHickory, NC 28602-1111 · Phone (828) 328-7947

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kelley Erin Godbout Pa-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 ID2163834037
PECOS Enrollment IDI20201217001248
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
69 services69 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 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.
22 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

DR. KATHERINE MARIE DAVIS FRANCOIS MD, MPH
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD
WINSTON-SALEM, NC 27157
Forsyth County (336) 716-4039
KELLY KAITLIN ELLIOTT DPM
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-1203
MAYA ELENA FISHER
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
SEBASTIAN STONE HERNANDEZ MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
SAMANTHA GABRIELA ECHEVARRIA
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
REBECCA G DUGAL
Nurse Practitioner (Family)
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
WILLIAM ALEXANDER BEAM MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-9253
AMY CAROL KNIGHT MS, CGC
Genetic Counselor, MS
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-0327

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 Kelley Godbout's NPI number?

The NPI number for Kelley Godbout is 1801426127. It was assigned to this individual provider in the NPPES registry on January 26, 2020.

Where is Kelley Godbout located?

Kelley Godbout practices at 1 Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2011.

What is Kelley Godbout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelley Godbout enrolled in Medicare?

Yes. Kelley Godbout 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 Kelley Godbout accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kelley Godbout 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.

Is Kelley Godbout affiliated with any hospitals?

According to CMS data, Kelley Godbout is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kelley Godbout was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.