Active NPI
Susan M Fisher, CNM
- Midwife
- Athens, GA
National Provider Identifier
1275674475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN155645
- Practice address
- 1199 Prince Ave
Athens Regional Midwifery Department
Athens, GA 30606-2797 - Phone
- (706) 475-4917
- NPI assigned
- Feb 9, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | RN155645 | GA | Primary |
Addresses
Primary practice location
1199 Prince Ave
Athens Regional Midwifery Department
Athens, GA 30606-2797
Mailing address
1500 Oglethorpe Ave
Suite 600F
Athens, GA 30606-2179
Phone (706) 475-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN155645 | Other | GA | NURSING LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121126000602 | GA | Practitioner - Certified Nurse Midwife (CNM) | 1850542762 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohammed Obeidin, MD. | Past | Accepting new patients | |
| Gregory a. Delaurier, M.D., Colorectal and General Surgery, P.C. | Past | Accepting new patients | |
| Kimberly Walpert, M.D., LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Colon & Rectal Surgery Physician
- Athens, GA
- NPI 1639322779
-
- Neurological Surgery Physician
- Athens, GA
- NPI 1326419649
-
- Surgery Physician
- Athens, GA
- NPI 1558538900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1275674475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE",
"address_2": "SUITE 600F",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062179",
"telephone_number": "706-475-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 PRINCE AVE",
"address_2": "ATHENS REGIONAL MIDWIFERY DEPARTMENT",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062797",
"telephone_number": "706-475-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "GA",
"license": "RN155645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN155645",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.