| Shelby M Godwin, PA | |
|
5653 Frist Blvd Ste 738, Hermitage, TN 37076-2066 | |
| (615) 320-0007 | |
| (615) 383-6329 |
| Full Name | Shelby M Godwin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 5653 Frist Blvd Ste 738, Hermitage, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194335836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 4274 (Tennessee) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 4274 (Tennessee) | Primary |
| Entity Name | Premier Pain & Spine Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891375770 PECOS PAC ID: 2062816689 Enrollment ID: O20210804001906 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby M Godwin, PA Po Box 210127, Nashville, TN 37221-0127 Ph: (615) 320-0007 | Shelby M Godwin, PA 5653 Frist Blvd Ste 738, Hermitage, TN 37076-2066 Ph: (615) 320-0007 |
Morgan Danae Sorrels, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3786 Central Pike Ste 110, Hermitage, TN 37076 Phone: 615-964-5941 |
Hannah Hertel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 200, Hermitage, TN 37076 Phone: 615-885-0200 Fax: 615-885-0267 |
Mrs. Angela Lyn Collins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd, Suite 712, Hermitage, TN 37076 Phone: 615-872-9966 Fax: 615-872-9967 |
Bailey Sloan Presley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd Ste 603, Hermitage, TN 37076 Phone: 615-889-1968 Fax: 615-889-5527 |
Laura Kristin Conrey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd Ste 236, Hermitage, TN 37076 Phone: 615-232-8812 Fax: 615-232-8815 |
Amanda Sher Fallos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3939 Central Pike, Hermitage, TN 37076 Phone: 615-883-2331 Fax: 615-391-1785 |
Meera M Gandhi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3901 Central Pike Ste 500, Hermitage, TN 37076 Phone: 027-920-2365 |