1. Home
  2. Directory
  3. South Carolina
  4. Spartanburg
  5. Nurse Practitioner
  6. NPI Profile

EVODIA JEANETTE GODFREY APRN
NPI 1922765056
Nurse Practitioner - Family in Spartanburg, SC

Active since November 23, 2021PECOS EnrolledAccepts Medicare Assignment
460 LANGDON ST, SPARTANBURG, SC 29302(864) 582-2411 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evodia Jeanette Godfrey Aprn NPPES

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

EVODIA JEANETTE GODFREY APRN (NPI 1922765056) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (25615) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922765056
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEVODIA JEANETTE GODFREYCredential: APRN
Location Address460 LANGDON STSpartanburg, SC 29302-1614
Mailing AddressPo Box 5158Spartanburg, SC 29304-5158 · (864) 582-2411
Phone(864) 582-2411
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1922765056 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 SC · 25615
460 LANGDON ST, Spartanburg, SC 29302
Open in Google Maps ↗

Accepted Insurance

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

Evodia Jeanette Godfrey Aprn 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 ID2668853045
PECOS Enrollment IDI20220715002354
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 Reassignment

Medicare enrollment records show Evodia Godfrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regenesis Organization Community Health Center
Same address
Federally Qualified Health Center (FQHC)
460 LANGDON ST.
Spartanburg, SC 29302
NPI 1457745952 (864) 582-2817

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29302 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

JACQUELYN WALKER
Counselor (Professional)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 549-0222
TAMPATHA L TANNER MSW
Social Worker
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 504-3628
KARINA AMERICA
Counselor (Professional)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 504-3628
MARIA LIAN KING LISW-CP
Social Worker (Clinical)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 504-3628
JULIA S MOORE LPC
Counselor (Professional)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411
MRS. DONNA FOSSETT KNIGHT APRN
Nurse Practitioner (Family)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411
TONISHA DE'SHAUN LEE LISW-CP
Social Worker (Clinical)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411
AMBER N SCHRENKEL LISW-CP
Social Worker (Clinical)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411

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 Evodia Godfrey's NPI number?

The NPI number for Evodia Godfrey is 1922765056. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Evodia Godfrey located?

Evodia Godfrey practices at 460 Langdon St, Spartanburg, SC 29302. The listed phone number is (864) 582-2411.

What is Evodia Godfrey's specialty?

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

Is Evodia Godfrey enrolled in Medicare?

Yes. Evodia 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 organization bills Medicare for Evodia Godfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evodia Godfrey reassigns Medicare benefits to Regenesis Organization Community Health Center (Spartanburg, SC). The 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 Evodia Godfrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evodia Godfrey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Evodia 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 Evodia Godfrey was last updated on November 23, 2021. 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.