NPIMap

Individual provider Active NPI

Raina Morgan Ferenchick, M.D.

  • Obstetrics & Gynecology Physician
  • Cairo, GA
National Provider Identifier
1306146451
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
68407 Issued in GA
Practice address
1180 5TH St SE
Cairo, GA 39828-3141
Phone
(229) 377-2002
Fax
(229) 377-0930
NPI assigned
Oct 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN14341 FL
Obstetrics & Gynecology Physician 207V00000X ME108694 FL
Obstetrics & Gynecology Physician 207V00000X 68407 GA Primary

Addresses

Primary practice location

1180 5TH St SE
Cairo, GA 39828-3141

Mailing address

1178 5TH St SE
Cairo, GA 39828-3141
Phone (229) 377-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000642 GA Practitioner - Obstetrics/Gynecology 9032359104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cairo Medical Care, LLCGroup PAC ID 7618067042, 8 clinicians

Practice addresses (Care Compare)

1178 5TH St SE
Cairo, GA 39828-3141
Phone (229) 377-2002

Hospital & facility affiliations

  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Memorial Hospital and Manor Hospital, Bainbridge, GA, CCN 110132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108694FLMDObstetrics & Gynecology Physician
TRN14341FLMDObstetrics & Gynecology Physician
68407GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Southwest Georgia, Inc. Current Accepting new patients
Grady General Hospital CurrentSince Nov 16, 2022 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jun 1, 2014 Accepting new patients
Cairo Medical Care, LLC CurrentSince Sep 1, 2013 Accepting new patients
Primary Care of Southwest Georgia, Inc CurrentSince Jun 1, 2014 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

360 College St
Blakely, GA 39823
Phone (229) 723-2660

1178 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

1180 5th St SE
Cairo, GA 39828
Phone (229) 377-2002

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

1178 5th St SE
Bldg A
Cairo, GA 39828

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/66097e3b-7cef-4b96-acca-38bfaae85903/
  • Direct secure messaging: raina.ferenchick@cmcl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1306146451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-2002",
            "fax_number": "229-377-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 5TH ST SE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283141",
            "telephone_number": "229-377-2002",
            "fax_number": "229-377-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENCHICK",
        "first_name": "RAINA",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN14341",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME108694",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "68407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.