Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivy Lancaster Godwin, FNP

Individual provider Family Nurse Practitioner · NPI 1811612609

Ivy Lancaster Godwin, FNP is a Nurse Practitioner in Adel, Georgia. Qualified in 2022, 4 years ago. Practices with Tift Regional Health System Inc, a 292-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

172 Mj Taylor Rd
Adel, GA 31620-3497
Phone: (229) 896-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 33 McKentson Ln, Nashville, GA 31639-5654 — (229) 412-0643

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP222783 (GA)

Record details

NPI number1811612609
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tift Regional Health System Inc — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Adel