Individual provider Active NPI

Jeri Melanie Willeby, CNM

  • Advanced Practice Midwife
  • Macon, GA
National Provider Identifier
1083724637
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN047389 Issued in GA
Practice address
1062 Forsyth St
Ste 3B
Macon, GA 31201
Phone
(478) 743-3454
Fax
(478) 743-6816
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN047389 GA Primary

Addresses

Primary practice location

1062 Forsyth St
Ste 3B
Macon, GA 31201

Mailing address

1062 Forsyth St
Ste 3B
Macon, GA 31201
Phone (478) 743-3454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN047389GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Schuessler, Pope, Kehl, Barnes & Durso II LLC Past Accepting new patients
Physicians & Midwives of Macon, P.C. PastSince Mar 1, 2022 Accepting new patients
Guardian Medical Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeri.willeby@spkbd.eclinicaldirectplus.com

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083724637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "STE 3B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-743-3454",
            "fax_number": "478-743-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "STE 3B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-743-3454",
            "fax_number": "478-743-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEBY",
        "first_name": "JERI",
        "middle_name": "MELANIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN047389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.