Individual provider Active NPI

Bethany Norman Ware, CNM

  • Advanced Practice Midwife
  • Saint Marys, GA
National Provider Identifier
1518498286
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN252390 Issued in GA
Practice address
2060 Dan Proctor Dr Ste 1800
Saint Marys, GA 31558-4324
Phone
(912) 510-7376
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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 RN252390 GA Primary

Addresses

Primary practice location

2060 Dan Proctor Dr Ste 1800
Saint Marys, GA 31558-4324

Mailing address

1280 Worthington Hills Dr
Roswell, GA 30076-1753
Phone (404) 218-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181219003441 GA Practitioner - Certified Nurse Midwife (CNM) 7416292438 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN252390GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Oct 1, 2018 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Women of Camden Advanced OBGYN Past Accepting new patients

Locations

1791 Mulkey Rd
Ste 200
Austell, GA 30106
Phone (770) 732-5400

51 Hiram Dr
Bldg B
Hiram, GA 30141
Phone (678) 945-8300

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2500 Hospital Blvd
Ste 340
Roswell, GA 30076
Phone (470) 956-4590

Interoperability endpoints

  • Direct secure messaging: bware287786@directwellstar.org

Organizations & group practices 3

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1518498286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 WORTHINGTON HILLS DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761753",
            "telephone_number": "404-218-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 DAN PROCTOR DR STE 1800",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315584324",
            "telephone_number": "912-510-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "BETHANY",
        "middle_name": "NORMAN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN252390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.