Angelia Krontz Attaway – Advanced Practice Midwife

Key facts

NPI: 1114758489
Entity type: Individual (NPI type 1)
Primary specialty: Advanced Practice Midwife 367A00000X
License: RN275754 (GA)
Practice address: 101 Harris Industrial Blvd
Vidalia, GA 30474-8852
Phone: (912) 537-1014
NPI assigned: Aug 9, 2024
Sex: Female
Sole proprietor: No

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.

Meadows Multispecialty Associates, LLC Internal Medicine Physician · Lyons, GA · NPI 1952990533

Medicare reassignment Care Compare group NPD GA

Medicare Care Compare profile

Specialty: Certified Nurse Midwife (CNM)
Education: Other, 2024
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Meadows Multispecialty Associates LLC (28 clinicians)

Practice addresses (Care Compare)

101 Harris Industrial Blvd
Suite C
Vidalia, GA 30474-8852
Phone (912) 537-1014

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241010000361	GA	Practitioner - Certified Nurse Midwife (CNM)	8325570732	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Midwife

Practice roles

Organization	Specialty	Status	New patients
Meadows Multispecialty Associates, LLC		Current since Sep 1, 2024	Accepting new patients

Locations

11 Johnson St
Hazlehurst, GA 31539
Phone (800) 367-0816

101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474

1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003

101 Harris Industrial Blvd
Vidalia, GA 30474
Phone (912) 277-2044

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

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

Direct secure messaging: angelia.attaway@hca5.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Advanced Practice Midwife	367A00000X	RN275754	GA	Yes

Addresses

Primary practice location

101 Harris Industrial Blvd
Vidalia, GA 30474-8852

Mailing address

2044 Lancaster Rd
Eastman, GA 31023-2151
Phone (478) 231-6694

Other practice location 1

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555

Other providers in Vidalia, GA

Anchored Minds Behavioral Health LLC
Taylor Alexandria Andre, MSN, APRN, FNP-C
Mary Frances Andrews, FNP-C
Ara-Vidalia Clinic LLC
Robert Lee Arnold, MPAS, PA-C
Dana M Avist, APRN, BC
Fatima Ayeni
Back & Neck Pain Center PC
Melanie Crooms Bailey
Helen Baird

All providers in Vidalia, GA · Advanced Practice Midwife in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.