P Praxis·MD
● Active Type 1 · Individual

Ivy Lancaster Godwin, FNP

Nurse Practitioner·Adel, GA· NPI 1811612609 · Enumerated 2022 · 3 years on NPI
Godwin is 1 of 9 nurse practitioner providers in Adel and 1 of 8826 in Georgia.
NPI age
3 years
Enumerated 2022-10-05
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Practice location
172 Mj Taylor Rd
Adel, GA 316203497
📞 2298968500
Mailing address
Po Box 2650
Tifton, GA 317932650

Additional practice locations

1 secondary location on file with NPPES.

Location 2
33 McKentson Ln
Nashville, GA 316395654
📞 2294120643

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #NP222783 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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