Organization Active NPI

Darien Primary Care Inc

  • Advanced Practice Midwife
  • Darien, GA
National Provider Identifier
1467738559
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN 165440 Issued in GA
Legal business name
DARIEN PRIMARY CARE INC
Practice address
1135 North Way
Ste E
Darien, GA 31305
Phone
(912) 437-2442
Fax
(912) 437-7774
NPI assigned
Nov 2, 2011
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Margaret Ann Wright, CNM ARNPNPI 1801010020
Title
Owner
Phone
(912) 674-3980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN217510 GA
Advanced Practice Midwife 367A00000X RN 165440 GA Primary

Addresses

Primary practice location

1135 North Way
Ste E
Darien, GA 31305

Mailing address

1135 North Way
E Box 2690
Darien, GA 31305-2690
Phone (912) 437-3025

Other identifiers 1

IdentifierTypeStateIssuer
003124500AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000627 GA Part B Supplier - Clinic/Group Practice 8022283175 Receives reassigned benefits from 2 practitioners
Practice locations: Darien, GA; Kingsland, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2046413Darien Primary Care Inc1135 North Way, Darien, GA 31305Provider-performed microscopyFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

1135 North Way
Ste E
Darien, GA 31305
Phone (912) 437-2442

1135 North Way
Ste E2
Darien, GA 31305
Phone (912) 437-2442

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1467738559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 NORTH WAY",
            "address_2": "E BOX 2690",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313052690",
            "telephone_number": "912-437-3025",
            "fax_number": "912-437-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NORTH WAY",
            "address_2": "STE E",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "31305",
            "telephone_number": "912-437-2442",
            "fax_number": "912-437-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-674-3980",
        "authorized_official_credential": "CNM ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN217510",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN 165440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124500A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.