Individual provider Active NPI

Anne Sirey Sigouin, CNM

  • Advanced Practice Midwife
  • East Point, GA
National Provider Identifier
1346358777
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN141684 Issued in GA
Practice address
2739 Felton Dr
East Point, GA 30344-3603
Phone
(404) 766-8371
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN141684 GA Primary

Addresses

Primary practice location

2739 Felton Dr
East Point, GA 30344-3603

Mailing address

3545 Fairway Dr
College Park, GA 30337-1626
Phone (404) 405-4543

Other identifiers 1

IdentifierTypeStateIssuer
00896299AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190826001229 GA Practitioner - Certified Nurse Midwife (CNM) 4880766385 Reassigns benefits to 1 organization
I20220324001656 HI Practitioner - Certified Nurse Midwife (CNM) 4880766385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN141684GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital Advanced Practice Midwife CurrentSince Feb 11, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince May 30, 2023 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Feb 11, 2022 Accepting new patients
Life Cycle Pediatrics Past Accepting new patients
Life Cycle Pediatrics, LLC Past Accepting new patients
Life Cycle Pediatrics, LLC Past Accepting new patients

Locations

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

67-1123 Mamalahoa Hwy
Ste 120
Kamuela, HI 96743
Phone (808) 885-5236

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1346358777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 FAIRWAY DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303371626",
            "telephone_number": "404-405-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 FELTON DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443603",
            "telephone_number": "404-766-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGOUIN",
        "first_name": "ANNE",
        "middle_name": "SIREY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN141684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00896299A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.