DR. RAE JEANNA GODSEY D.O. NPI 1124024088

NPI Information

  • NPI: 1124024088
  • Provider Name: DR. RAE JEANNA GODSEY, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2100 MARKET ST
    STE 100
    CHARLESTOWN, IN
    ZIP 47111
  • Phone: (812) 256-0700

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NPI Details

DR. Rae Jeanna Godsey, D.O. is a family medicine in Charlestown, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Rae Jeanna Godsey, D.O. NPI is 1124024088. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 MARKET ST
STE 100
CHARLESTOWN, IN
ZIP 47111-535
Phone: (812) 256-0700
Fax: (812) 256-0704

The enumeration date for this NPI number is 6/24/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine02002615AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200441850AMEDICAIDINDIANA
27022469OTHERAETNA
31209485OTHERINDIANACHA HEALTH
4000000301780OTHERANTHEM
502002615AOTHERINDIANASTATE LICENSE
615D1020413OTHERCLIA
764079213MEDICAIDKENTUCKY
8907008OTHERUSA MCO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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