IVY LANCASTER GODWIN FNP - NPI 1811612609 - Nurse Practitioner in Adel, GA

Q: What is Ivy Godwin's NPI number?

The NPI number for Ivy Godwin is 1811612609. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Q: What is Ivy Godwin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ivy Godwin was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ivy Lancaster Godwin Fnp NPPES

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

IVY LANCASTER GODWIN FNP (NPI 1811612609) is an individual family provider in Adel, Georgia, licensed in Georgia (NP222783) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Cook Medical Center A Campus Of Tift Reg Med Ctr, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1811612609

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIVY LANCASTER GODWINCredential: FNP

Location Address172 MJ TAYLOR RDAdel, GA 31620-3497

Mailing AddressPo Box 2650Tifton, GA 31793-2650

Phone(229) 896-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 5, 2022

Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration

NPPES CertifiedOctober 10, 2025

✔ NPI 1811612609 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 GA · NP222783

172 MJ TAYLOR RD, Adel, GA 31620

Open in Google Maps ↗

Secondary Practice Location 1

Location 133 McKentson LnNashville, GA 31639-5654 · Phone (229) 412-0643

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

Ivy Lancaster Godwin Fnp 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 ID4284149394

PECOS Enrollment IDI20250716002484

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.

Hospital Affiliations CMS Care Compare

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

Cook Medical Center A Campus Of Tift Reg Med Ctr

Acute Care Hospitals · Adel, GA

OwnershipProprietary

CMS Certification Number110101

Location260 Mj Taylor RoadAdel, GA 31620 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31620 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 10

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

VINCENT VALENCIA M.D.

Family Medicine