Individual provider Active NPI

Christy L Hartley, CNM/ARNP

  • Advanced Practice Midwife
  • Brunswick, GA
National Provider Identifier
1104149319
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN-NP150227 Issued in GA
Practice address
2500 Starling St Ste 305
Brunswick, GA 31520-4271
Phone
(912) 588-1020
Fax
(912) 588-1002
NPI assigned
Mar 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN150227 GA
Family Nurse Practitioner 363LF0000X RN150227 GA
Women's Health Nurse Practitioner 363LW0102X RN150227 GA
Advanced Practice Midwife 367A00000X APRN-NP150227 GA Primary

Addresses

Primary practice location

2500 Starling St Ste 305
Brunswick, GA 31520-4271

Mailing address

2500 Starling St Ste 305
Brunswick, GA 31520-4271
Phone (912) 588-1020

Other identifiers 1

IdentifierTypeStateIssuer
RN150227OtherGALICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160805000425 GA Practitioner - Nurse Practitioner 2163618372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

3025 Shrine Rd
Suite 190
Brunswick, GA 31520-4788
Phone (912) 466-7250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN150227GAMDNurse Practitioner
APRN-NP150227GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Cooperative Healthcare Services Inc CurrentSince May 1, 2025 Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients

Locations

3025 Shrine Rd
Ste 190
Brunswick, GA 31520
Phone (912) 466-7250

2500 Starling St
Ste 305
Brunswick, GA 31520
Phone (912) 588-1020

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 480
Brunswick, GA 31520
Phone (912) 466-5640

2500 Starling St
Ste 606
Brunswick, GA 31520
Phone (912) 466-0800

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • Direct secure messaging: christy.brocato@hca5.eclinicaldirectplus.com
  • Direct secure messaging: christy.brocato@srpcc.gadirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1104149319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 305",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204271",
            "telephone_number": "912-588-1020",
            "fax_number": "912-588-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 305",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204271",
            "telephone_number": "912-588-1020",
            "fax_number": "912-588-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "CHRISTY",
        "middle_name": "L",
        "credential": "CNM/ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN150227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN150227",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN150227",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "APRN-NP150227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN150227",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.