Individual provider · Type 1 NPI

Ivy Lancaster Godwin, FNP

Family Nurse Practitioner · Adel, GA

NPI number 1811612609 Active

Practice location

172 Mj Taylor Rd
Adel, GA 31620-3497

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Other practice locations

  • 33 Mckentson Ln, Nashville, GA 31639-5654 · (229) 412-0643

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP222783 (GA)

Family Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1811612609

Ivy Lancaster Godwin, FNP's National Provider Identifier is 1811612609, issued on Oct 5, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Adel, GA. The record was last updated on Oct 10, 2025.