Active NPI
Moriah Kimberly Wise, CPM, CLC
- Midwife
- Albany, GA
National Provider Identifier
1427930478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 2401 Dawson Rd
Albany, GA 31707-2331 - Phone
- (229) 349-4234
- Fax
- (866) 831-3234
- NPI assigned
- Jul 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary |
Addresses
Primary practice location
2401 Dawson Rd
Albany, GA 31707-2331
Mailing address
606 Murphy Rd
Dawson, GA 39842-4110
Phone (229) 261-3404
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1427930478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 MURPHY RD",
"city": "DAWSON",
"state": "GA",
"postal_code": "398424110",
"telephone_number": "229-261-3404",
"fax_number": "866-831-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 DAWSON RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317072331",
"telephone_number": "229-349-4234",
"fax_number": "866-831-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "MORIAH",
"middle_name": "KIMBERLY",
"credential": "CPM, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2025-07-22",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.