Individual provider Active NPI

Mackenzie Cundey, CNM

  • Advanced Practice Midwife
  • Augusta, GA
National Provider Identifier
1104504364
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN264328 Issued in GA
Practice address
2803 Wrightsboro Rd Ste 24
Augusta, GA 30909-3914
Phone
(706) 736-2737
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 RN264328 GA Primary

Addresses

Primary practice location

2803 Wrightsboro Rd Ste 24
Augusta, GA 30909-3914

Mailing address

3116 Applegate LN
Augusta, GA 30909-3410

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
RN264328GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Calvin Hobbs MDPC CurrentSince Jul 9, 2023 Accepting new patients

Locations

2803 Wrightsboro Rd
Ste 24
Augusta, GA 30909
Phone (706) 736-2737

Organizations & group practices 1

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1104504364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 APPLEGATE LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 WRIGHTSBORO RD STE 24",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093914",
            "telephone_number": "706-736-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDEY",
        "first_name": "MACKENZIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN264328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.