Maria Mock, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN083558 CNM Issued in GA

Practice address

414 5TH Ave
Albany, GA 31701-1976

Phone

(229) 883-4555

Fax

(229) 888-0063

NPI assigned

Dec 20, 2007

Last updated

Jun 16, 2022By 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 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

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.

• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County Georgi

  dba Magnolia Womens Center

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1548788771
  NPD
• Primary Care of Southwest Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1992102073
  NPD
• Primary Care of Southwest Georgia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1366641318
  NPD
• Women's Health Professionals LLC

  • Specialist
  • Albany, GA
  • NPI 1588786495
  NPD
• Person to Person Transportation Service L.L.C

  • Ambulance
  • Riverdale, GA
  • NPI 1184278848
  NPD (past)

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1285818757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 5TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011976",
            "telephone_number": "229-883-4555",
            "fax_number": "229-888-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 5TH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011976",
            "telephone_number": "229-883-4555",
            "fax_number": "229-888-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317926113",
            "country_code": "US",
            "telephone_number": "229-226-8800 x110",
            "fax_number": "229-226-1660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "MARIA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN083558",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN083558  CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Craig Mitchell, M.D.
• Danielle Renee' Mitchell
• Garnie Mitchell, LCSW
• Martha Mixon, LCSW
• MLH Healthsource
• Michael Blair Monahan, D.O.
• Thomas William Monahan III, DMD
• Elizabeth Moncrief, CCC-SLP
• Theresa Moncus, RN
• Ruth Datmare Montalvo, M.D.

• Advanced Practice Midwife in Albany, GA
• Providers in Albany, 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 Jun 16, 2022; 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.