Active NPI
Hannah Davis Wills
- Advanced Practice Midwife
- Valdosta, GA
National Provider Identifier
1174205694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN277815
- Practice address
- 220 Northside Dr
Valdosta, GA 31602-1858 - Phone
- (229) 241-2800
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN277815 | GA | |
| Advanced Practice Midwife | 367A00000X | RN277815 | GA | Primary |
Addresses
Primary practice location
220 Northside Dr
Valdosta, GA 31602-1858
Mailing address
235 Parks Memorial Building
Campus Box 63
Milledgeville, GA 31061
Phone (478) 445-1076
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern OB GYN Associates P C | Current | Accepting new patients |
Locations
220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800
Interoperability endpoints
- hannahwills@sobgyn.allscriptsdirect.net
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.
-
- Obstetrics & Gynecology Physician
- Valdosta, GA
- NPI 1801951454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1174205694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PARKS MEMORIAL BUILDING",
"address_2": "CAMPUS BOX 63",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "31061",
"telephone_number": "478-445-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021858",
"telephone_number": "229-241-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "HANNAH",
"middle_name": "DAVIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN277815",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN277815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.