Individual provider Active NPI

Elois Edge, CNM

  • Advanced Practice Midwife
  • Albany, GA
National Provider Identifier
1598836884
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RNO54422 Issued in GA
Practice address
401 S Madison St
Albany, GA 31701-3111
Phone
(229) 888-3636
NPI assigned
Nov 10, 2006
Last updated
Nov 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 RNO54422 GA Primary

Addresses

Primary practice location

401 S Madison St
Albany, GA 31701-3111

Mailing address

204 N Westover Blvd
Albany, GA 31707-2983
Phone (229) 888-6559

Other identifiers 1

IdentifierTypeStateIssuer
00838065AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNO54422GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. CurrentSince Aug 1, 2009 Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Aug 1, 2009 Accepting new patients

Locations

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

401 S Madison St
Albany, GA 31701
Phone (229) 405-6959

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

Organizations & group practices 2

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1598836884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N WESTOVER BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072983",
            "telephone_number": "229-888-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MADISON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317013111",
            "telephone_number": "229-888-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "ELOIS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RNO54422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00838065A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.