Clarence Godfrey, PAAA
NPI 1407189194 · Anesthesiologist Assistant · Marietta, GA
Enrolled with Medicare as Practitioner - Anesthesiology Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarence Godfrey, PAAA is a Anesthesiologist Assistant provider in Marietta, GA (NPI 1407189194).
Provider details
- NPI number
- 1407189194
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAAA
- Sex
- Male
- Sole proprietor
- No
- License
- 005632 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1000 Johnson Ferry Rd NeAtlanta, GA 30342-1606Phone: (770) 645-9181Fax: (770) 645-8455
Registry dates
- Enumerated
- 2009-09-12
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Frequently asked questions
- What is Clarence Godfrey's NPI number?
- Clarence Godfrey's National Provider Identifier (NPI) is 1407189194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clarence Godfrey's specialty?
- Clarence Godfrey is listed in the NPPES registry with a primary specialty of Anesthesiologist Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clarence Godfrey located?
- Clarence Godfrey's practice location on file with NPPES is 2540 Windy Hill Rd Se, Marietta, GA 30067-8605.
- What is Clarence Godfrey's phone number?
- The practice phone number listed in the NPPES registry for Clarence Godfrey is (470) 644-1274.
- Does Clarence Godfrey accept Medicare?
- Clarence Godfrey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clarence Godfrey's NPI active?
- Yes — Clarence Godfrey's NPI (1407189194) is active in the NPPES registry as of the last update on 2025-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.