Anna Virginia Bennett, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN144414 Issued in GA

Practice address

1243 US Highway 319 S
Moultrie, GA 31768-0565

Phone

(229) 985-6738

NPI assigned

Jan 9, 2006

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Betty V Koukis, PC

  • Gynecology Physician
  • Moultrie, GA
  • NPI 1417470360
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1245218338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 US HIGHWAY 319 S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317680565",
            "telephone_number": "229-985-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 US HIGHWAY 319 S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317680565",
            "telephone_number": "229-985-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ANNA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN144414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000975268A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Maldonado Batchelor, DO
• Wilson Baumgartner
• Christopher Neil Bazal, MD
• Joseph B Beavers, MD
• Rhonda Bedell, MD
• Casey Jo Bennett
• Lila Leanne Bennett, FNP-C
• Brian Berl, PT
• Seth Allen Berl, M.D.
• Betty V Koukis, PC

• Advanced Practice Midwife in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.

Verify at the official NPI Registry.