Vivian M Alvarez, CNM
Individual provider Active NPI Advanced Practice Midwife · Duluth, GA
NPI 1124120167 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1124120167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- RN105858 (GA)
- Practice address
- 3650 Steve Reynolds Blvd
Department of Obstetrics & Gynecology
Duluth, GA 30096-4506 - Phone
- (770) 931-6012
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20041210000275 | GA | Practitioner - Certified Nurse Midwife (CNM) | 6406813542 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Advanced Practice Midwife | Current |
Accepting new patients |
| Northside Surgical Professional Services LLC | Current |
Accepting new patients |
Locations
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1800 Northside Forsyth Dr
Ste 350
Cumming, GA 30041
Phone (770) 205-6501
3650 Steve Reynolds Blvd
Duluth, GA 30096
Phone (770) 931-6010
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN105858 | GA | Yes |
Addresses
Primary practice location
3650 Steve Reynolds Blvd
Department of Obstetrics & Gynecology
Duluth, GA 30096-4506
Mailing address
3495 Piedmont Rd NE
Nine Piedmont Center
Atlanta, GA 30305-1717
Phone (404) 364-7000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Other providers in Duluth, GA
- Allys Sernior Services, Inc.
- Alpha Recovery Group Inc
- Ali Alqallaf
- Sharon Alston
- Fethiye Altikulac
- Alznner 113 Walking Center Inc
- Angela Amaral
- Jeryi Amason
- America'S Best Contacts & Eyeglasses
- Americare, LLC.
All providers in Duluth, 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 Jan 6, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.