JENNIFER T GODFREY (NP) – Critical Care Medicine Registered Nurse, NPI 1861439549

JENNIFER T GODFREY (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN50013 (GA). The NPI Number for JENNIFER T GODFREY (NP) is 1861439549

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER T GODFREY (NP)
NPI
1861439549
Phone
(404) 778-7402
Address
1365 CLIFTON RD NE
Enumeration Date
1 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2003 (23 years ago)
PAC ID
0446262596
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20060608000173
Address ID
GA303221013AT1365XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for JENNIFER T GODFREY (NP)

  • Clifton Road Northeast, Emory Highlands, Druid Hills, DeKalb County, Georgia, 30329, United States

    ATLANTA, GA 303221013

    Phone: (404) 778-7402

    Fax: (404) 778-4819

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060608000173INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30322)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER T GODFREY (NP) in U.S. healthcare records?
The official identifier for JENNIFER T GODFREY (NP) is NPI 1861439549.
Would JENNIFER T GODFREY (NP) appear as active to a payer?
You can treat JENNIFER T GODFREY (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIFER T GODFREY (NP)?
JENNIFER T GODFREY (NP) is associated with Critical Care Medicine Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER T GODFREY (NP) located near Atlanta?
JENNIFER T GODFREY (NP) currently maps to Atlanta, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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