Individual provider Active NPI

Michelle Kay Moneypenny, CNM

  • Advanced Practice Midwife
  • Warner Robins, GA
National Provider Identifier
1245054204
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN205291 Issued in GA
Practice address
130 Byrd Way
Warner Robins, GA 31088-8937
Phone
(478) 922-9136
NPI assigned
Nov 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN205291 GA Primary

Addresses

Primary practice location

130 Byrd Way
Warner Robins, GA 31088-8937

Mailing address

121 Sullivan Dr
Byron, GA 31008-5239
Phone (478) 321-2173

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430001348 GA Practitioner - Certified Nurse Midwife (CNM) 0446727127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 Byrd Way
Warner Robins, GA 31088-8937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN205291GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare of Middle Ga, Inc CurrentSince Nov 17, 2024 Accepting new patients
Guardian Medical Services, LLC PastSince Nov 17, 2024 Accepting new patients

Locations

1025 N Houston Rd
Warner Robins, GA 31093
Phone (478) 238-5513

130 Byrd Way
Warner Robins, GA 31088
Phone (478) 922-9136

Organizations & group practices 2

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": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1245054204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SULLIVAN DR",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310085239",
            "telephone_number": "478-321-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BYRD WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888937",
            "telephone_number": "478-922-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONEYPENNY",
        "first_name": "MICHELLE",
        "middle_name": "KAY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN205291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.