| Charles D Godwin | |
|
2800 Village Way Trent Woods NC 28562-7305 | |
| (252) 637-7300 | |
| (252) 637-1772 |
| Full Name | Charles D Godwin |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2800 Village Way, Trent Woods, North Carolina |
| Authorized Official Name and Position | Melissa Diane Folk (OFFICE MANAGER) |
| Authorized Official Contact | 2526377300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Godwin 2800 Village Way Trent Woods NC 28562-7305 Ph: (252) 637-7300 | Charles D Godwin 2800 Village Way Trent Woods NC 28562-7305 Ph: (252) 637-7300 |
| NPI Number | 1134176506 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/02/2023 |
| Medicare PECOS PAC ID | 6002892270 |
|---|---|
| Medicare Enrollment ID | O20040628001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134176506 | NPI | - | NPPES |
| 8936034 | Medicaid | NC | |
| 1164496592 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 33666 (North Carolina) | Primary |
| Provider Name | Sheila J Honeycutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154455442 PECOS PAC ID: 1951401009 Enrollment ID: I20070703000231 |
| Provider Name | Barbara Clayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518102573 PECOS PAC ID: 2163579335 Enrollment ID: I20090406000430 |
| Provider Name | Dana West Crow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831169655 PECOS PAC ID: 3072771294 Enrollment ID: I20120220000705 |
| Provider Name | Charles D Godwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164496592 PECOS PAC ID: 2264418433 Enrollment ID: I20120220000722 |
| Provider Name | Graylyn Lewis Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594979 PECOS PAC ID: 8921417437 Enrollment ID: I20210513002493 |
Carolina Choice Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4110 Holly Ridge Rd, Trent Woods, NC 28562 Phone: 252-633-3855 Fax: 252-633-1548 | |
Carolina Choice, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3610 Wedgewood Dr, Trent Woods, NC 28562 Phone: 252-633-3855 Fax: 252-633-1548 | |
Colony Behavioral Health Group, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2804 Village Way, Trent Woods, NC 28562 Phone: 252-636-0112 Fax: 252-634-9778 | |
All About Development, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5116 White Oak Dr, Trent Woods, NC 28562 Phone: 252-229-0310 |