Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Erin Godbout, PA-C

Individual provider Physician Assistant · NPI 1801426127

Kelley Erin Godbout, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2020, 6 years ago. Practices with Iredell Physician Network LLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Medical Center Blvd
Winston Salem, NC 27157-4963
Phone: (336) 716-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 844 Highland Ave Se, Hickory, NC 28602-1111 — (828) 328-7947

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10761 (NC)

Record details

NPI number1801426127
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 26, 2020
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Iredell Physician Network Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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