Individual provider Active NPI

Rachel Lewis Cofield, CNM

  • Midwife
  • Athens, GA
National Provider Identifier
1063073088
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN255158 Issued in GA
Practice address
355 Hawthorne LN
Athens, GA 30606-2153
Phone
(706) 369-0019
NPI assigned
Jun 21, 2019
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN255158 GA Primary
Obstetrics & Gynecology Physician 207V00000X UNKNOWN GA

Addresses

Primary practice location

355 Hawthorne LN
Athens, GA 30606-2153

Mailing address

PO Box 5610
Cordele, GA 31010-5610
Phone (229) 273-8881

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Other names 1

  • Miss Rachel Hannah Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190826001869 GA Practitioner - Certified Nurse Midwife (CNM) 8820326069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
UNKNOWNGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Careconnect Health, Inc. CurrentSince Jun 24, 2019 Accepting new patients

Locations

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1063073088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310105610",
            "telephone_number": "229-273-8881",
            "fax_number": "229-273-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HAWTHORNE LN",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062153",
            "telephone_number": "706-369-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFIELD",
        "first_name": "RACHEL",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN255158",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "UNKNOWN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LEWIS",
            "middle_name": "HANNAH",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.