Individual provider · Type 1 NPI

Shelby M. Godwin, PA

Surgical Physician Assistant · Hermitage, TN

NPI number 1194335836 Active

Practice location

5653 Frist Blvd Ste 738
Hermitage, TN 37076-2066

Fax (615) 383-6329

Mailing address

PO Box 210127
Nashville, TN 37221-0127

Other practice locations

  • 330 22nd Ave N, Nashville, TN 37203-1844 · (615) 320-0007

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4274 (TN)
Surgical Physician Assistant Primary 363AS0400X4274 (TN)

Surgical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1194335836

Shelby M. Godwin, PA's National Provider Identifier is 1194335836, issued on Aug 7, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hermitage, TN. The record was last updated on Sep 21, 2026.