Kelley Erin Godbout, PA-C
NPI 1801426127ActiveIndividual· Physician Assistant· Winston Salem, NC
Physician Assistant (PA-C) with Iredell Physician Network LLC, practicing in Winston Salem, North Carolina. 162 Medicare patients in 2024, $16,110 paid; nearly all of their 159 Part D prescriptions were generic (95%). Lists Iredell Memorial Hospital Inc as a hospital affiliation.
Overview
| NPI | 1801426127 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2020 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-10761 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 162 |
|---|---|
| Services billed | 273 across 43 procedure codes |
| Paid by Medicare | $16,110 |
Part D prescriptions in 2024
| Prescriptions (claims) | 159 · 161 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $1,490 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Iredell Physician Network LLCStatesville, NC · 96 clinicians
Hospital affiliation
- Iredell Memorial Hospital IncStatesville, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 674 physician assistants in Winston Salem · All physician assistants in North Carolina