Active NPI
Deborah Crews, CNM
- Advanced Practice Midwife
- Valdosta, GA
National Provider Identifier
1235215930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R063192
- Practice address
- 220 Northside Drive
Valdosta, GA 31602 - Phone
- (229) 241-2800
- Fax
- (229) 241-0454
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R063192 | GA | Primary |
Addresses
Primary practice location
220 Northside Drive
Valdosta, GA 31602
Mailing address
220 Northside Drive
Valdosta, GA 31602
Phone (229) 241-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00739109C | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R063192 | GA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235215930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 NORTHSIDE DRIVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-241-2800",
"fax_number": "229-241-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 NORTHSIDE DRIVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-241-2800",
"fax_number": "229-241-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "DEBORAH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "R063192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00739109C",
"state": "GA"
}
],
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.