Individual provider Active NPI

Terrikia Jonkoski, CNM

  • Advanced Practice Midwife
  • Cordele, GA
National Provider Identifier
1629892591
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN283335 Issued in GA
Practice address
412 E 4TH Ave
Cordele, GA 31015-3619
Phone
(229) 273-1243
Fax
(229) 273-1247
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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 RN283335 GA Primary

Addresses

Primary practice location

412 E 4TH Ave
Cordele, GA 31015-3619

Mailing address

412 E 4TH Ave
Cordele, GA 31015-3619
Phone (229) 273-1243

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN283335GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Nov 10, 2024 Accepting new patients

Locations

412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243

Interoperability endpoints

  • Direct secure messaging: terrika.jonkoski.1@14062.direct.athenahealth.com

Organizations & group practices 1

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1629892591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153619",
            "telephone_number": "229-273-1243",
            "fax_number": "229-273-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153619",
            "telephone_number": "229-273-1243",
            "fax_number": "229-273-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONKOSKI",
        "first_name": "TERRIKIA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN283335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.