Samantha Fruge, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

RN216743 Issued in GA

Practice address

130 Byrd Way
Warner Robins, GA 31088-8937

Phone

(478) 922-9136

Fax

(478) 923-6846

NPI assigned

Oct 11, 2019

Last updated

Oct 25, 2021By 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 1

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Women's Healthcare of Middle Ga, IncGroup PAC ID 8628063203, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• Women's Healthcare of Middle Ga, Inc

  • Obstetrics & Gynecology Physician
  • Warner Robins, GA
  • NPI 1487696837
  Medicare reassignment Care Compare group NPD
• Guardian Medical Services, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1255786521
  NPD (past)
• New Woman Obstetrics and Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
  • NPI 1699249219
  NPD (past)

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1316589245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BYRD WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888937",
            "telephone_number": "478-922-9136",
            "fax_number": "478-923-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BYRD WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888937",
            "telephone_number": "478-922-9136",
            "fax_number": "478-923-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGE",
        "first_name": "SAMANTHA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2021-10-25",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN216743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Freeman, M.D.
• Fresenius Medical Care Warner Robins, LLC (Fresenius Medical Care Warner Robins Home)
• Solomon Frew
• Heather Frier
• Matthew R Fries, M. D.
• Full Destiny Counseling, LLC (Heather W Prunty)
• Ava Fuller
• Brenda Chiquita Fuller
• Katelyn Fuller, PHARMD
• Jennifer L Fullerton

• Midwife in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.