Healthcare Provider Details

I. General information

NPI: 1538078357
Provider Name (Legal Business Name): GODWINS FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 PACES FERRY RD SE STE 500
ATLANTA GA
30339-5714
US

IV. Provider business mailing address

4300 PACES FERRY RD SE STE 500
ATLANTA GA
30339-5714
US

V. Phone/Fax

Practice location:
  • Phone: 404-913-6705
  • Fax:
Mailing address:
  • Phone: 404-913-6705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BIANCA GODWINS CHINENYE UME
Title or Position: OWNER/ED
Credential: MD
Phone: 205-567-5855