Individual provider Active NPI

Virginia Hawk, CNM

  • Advanced Practice Midwife
  • Dunwoody, GA
National Provider Identifier
1366507915
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN048204 Issued in GA
Practice address
2398 Mount Vernon Rd
Suite 150
Dunwoody, GA 30338-3064
Phone
(770) 512-7099
Fax
(770) 512-7090
NPI assigned
Dec 26, 2006
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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 RN048204 GA Primary

Addresses

Primary practice location

2398 Mount Vernon Rd
Suite 150
Dunwoody, GA 30338-3064

Mailing address

2398 Mount Vernon Rd
Suite 150
Dunwoody, GA 30338-3064
Phone (770) 512-7099

Other identifiers 2

IdentifierTypeStateIssuer
00800137AMedicaidGA
00800137BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1366507915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 MOUNT VERNON RD",
            "address_2": "SUITE 150",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383064",
            "telephone_number": "770-512-7099",
            "fax_number": "770-512-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 MOUNT VERNON RD",
            "address_2": "SUITE 150",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383064",
            "telephone_number": "770-512-7099",
            "fax_number": "770-512-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "VIRGINIA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN048204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00800137A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00800137B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.