Active NPI
Thea Angela Vaden, CNM
- Midwife
- Athens, GA
National Provider Identifier
1114068889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN044251
- Practice address
- 1199 Prince Avenue
Athens Regional Midwifery Clinic
Athens, GA 30606-2793 - Phone
- (706) 475-5700
- Fax
- (706) 475-5718
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | RN044251 | GA | Primary |
Addresses
Primary practice location
1199 Prince Avenue
Athens Regional Midwifery Clinic
Athens, GA 30606-2793
Mailing address
2727 Paces Ferry Road
Suite 1-11000 (Attention Denise)
Atlanta, GA 30339
Phone (470) 271-3421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN044251 | Other | GA | GA NURSING LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Area Urology, PC | Past | Accepting new patients |
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": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1114068889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 PACES FERRY ROAD",
"address_2": "SUITE 1-11000 (ATTENTION DENISE)",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "470-271-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVENUE",
"address_2": "ATHENS REGIONAL MIDWIFERY CLINIC",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062793",
"telephone_number": "706-475-5700",
"fax_number": "706-475-5718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADEN",
"first_name": "THEA",
"middle_name": "ANGELA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "GA",
"license": "RN044251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA NURSING LICENSE",
"identifier": "RN044251",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.