Individual provider Active NPI

Lynette Marie Talley, CNM

  • Midwife
  • Americus, GA
National Provider Identifier
1265686083
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN156813 Issued in GA
Practice address
603 E Lamar St
Americus, GA 31709-3737
Phone
(229) 928-3444
Fax
(229) 928-3446
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN156813 GA Primary

Addresses

Primary practice location

603 E Lamar St
Americus, GA 31709-3737

Mailing address

603 E Lamar St
Americus, GA 31709-3737
Phone (229) 928-3444

Other identifiers 3

IdentifierTypeStateIssuer
738979380AMedicaidGA
RN156813OtherGACNM LICENSE
10435OtherACNM CERTIFICATION

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
I20200526001356 GA Practitioner - Certified Nurse Midwife (CNM) 5193146306 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince May 16, 2023 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince May 16, 2023 Accepting new patients
Careconnect Health, Inc. CurrentSince May 18, 2020 Accepting new patients
Careconnect Health, Inc. CurrentSince May 18, 2020 Accepting new patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2100 Palmyra Rd
Albany, GA 31701
Phone (229) 446-1990

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

603 E Lamar St
Americus, GA 31709
Phone (229) 928-3444

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Organizations & group practices 6

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": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1265686083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-928-3444",
            "fax_number": "229-928-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093737",
            "telephone_number": "229-928-3444",
            "fax_number": "229-928-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "LYNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN156813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738979380A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM LICENSE",
            "identifier": "RN156813",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM CERTIFICATION",
            "identifier": "10435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.