Organization Active NPI

Sacred Wombs Doula Services LLC

  • Doula
  • Morrow, GA
National Provider Identifier
1295496925
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SACRED WOMBS DOULA SERVICES LLC
Doing business as
Sacred Wombs Doula Services
Practice address
1431 Persimmon Trce
Morrow, GA 30260-4194
Phone
(404) 453-9266
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Brittany Zania Mathis
Title
Owner/Doula
Phone
(404) 453-9266

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Case Management Agency 251B00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

1431 Persimmon Trce
Morrow, GA 30260-4194

Mailing address

1431 Persimmon Trce
Morrow, GA 30260-4194
Phone (404) 453-9266

Other identifiers 1

IdentifierTypeStateIssuer
1356002042MedicaidGA

Other names 1

  • Sacred Wombs Doula Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shebyzee0@gmai.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1295496925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 PERSIMMON TRCE",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604194",
            "telephone_number": "404-453-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 PERSIMMON TRCE",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604194",
            "telephone_number": "404-453-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED WOMBS DOULA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ZANIA",
        "authorized_official_title_or_position": "OWNER/DOULA",
        "authorized_official_telephone_number": "404-453-9266"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356002042",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shebyzee0@gmai.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1431 Persimmon Trce",
            "city": "Morrow",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302604194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sacred Wombs Doula Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.