| Susan Kaye Godwin, ANP | |
|
207 Main St, Clifton, TN 38425-5547 | |
| (931) 676-3121 | |
| (731) 925-2157 |
| Full Name | Susan Kaye Godwin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 207 Main St, Clifton, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831136787 | NPI | - | NPPES |
| 3907880 | Medicaid | TN | |
| 4138126 | Other | TN | BCBS TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN7564 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hardin Medical Center | Savannah, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hmc Physician Services | 4981889862 | 15 |
| Entity Name | Hmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316246705 PECOS PAC ID: 4981889862 Enrollment ID: O20110420000226 |
| Entity Name | West Tennessee Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kaye Godwin, ANP Po Box 655, Savannah, TN 38372-0655 Ph: (731) 925-2300 | Susan Kaye Godwin, ANP 207 Main St, Clifton, TN 38425-5547 Ph: (931) 676-3121 |
Selena Renee Pevahouse, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Miller Drive, Clifton, TN 38425 Phone: 731-607-1007 | |
Mr. Charles Trevor Brashier, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 133 Main Street, Clifton, TN 38425 Phone: 931-676-3160 Fax: 931-676-3161 |