Organization Active NPI

Serendipity Midwifery, LLC

  • Advanced Practice Midwife
  • Valdosta, GA
National Provider Identifier
1508238064
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN176291 Issued in GA
Legal business name
SERENDIPITY MIDWIFERY, LLC
Practice address
1011 Williams St
Valdosta, GA 31601-4038
Phone
(229) 834-7506
Fax
(912) 662-5413
NPI assigned
Oct 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Lauren Osborne Courson-Bibin, CNMNPI 1205100971
Title
Certified Nurse Midwife/ Owner
Phone
(229) 834-7506

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X RN176291 GA Primary

Addresses

Primary practice location

1011 Williams St
Valdosta, GA 31601-4038

Mailing address

6015 Valencia St
Lake Park, GA 31636-3457
Phone (229) 834-7506

National Provider Directory

National Provider Directory

Locations

1011 Williams St
Valdosta, GA 31601
Phone (229) 834-7506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1508238064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 VALENCIA ST",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363457",
            "telephone_number": "229-834-7506",
            "fax_number": "912-662-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 WILLIAMS ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014038",
            "telephone_number": "229-834-7506",
            "fax_number": "912-662-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "COURSON-BIBIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "OSBORNE",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE/ OWNER",
        "authorized_official_telephone_number": "229-834-7506",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN176291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.