Susan Phillips, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN092464 Issued in GA

Practice address

1199 Prince Ave
Midwfiery Clinic
Athens, GA 30606-2797

Phone

(706) 475-4917

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Menner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athens Regional Specialty Services

  • Family Medicine Physician
  • Athens, GA
  • NPI 1083939136
  NPD (past)
• Gregory a. Delaurier, M.D., Colorectal and General Surgery, P.C.

  • Colon & Rectal Surgery Physician
  • Athens, GA
  • NPI 1639322779
  NPD (past)
• Kimberly Walpert, M.D., LLC

  • Neurological Surgery Physician
  • Athens, GA
  • NPI 1326419649
  NPD (past)
• Mohammed Obeidin, MD.

  • Surgery Physician
  • Athens, GA
  • NPI 1558538900
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1639234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 600F",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-475-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "address_2": "MIDWFIERY CLINIC",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-475-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN092464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00484921A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MENNER",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Phillips, PHARMD
• Elizabeth Colleen Phillips
• Jacline Phillips, MD
• Jordan Phillips, MD
• Rachel Kate Phillips, FNP-C
• Wallace Scott Phillips, CRNA
• Physician Management Services of Georgia II, LLC
• Physician's 1St Choice Medical Equipment & Supplies
• Physicians American Medical
• Physicians Management Group Alliance, LLC

• Advanced Practice Midwife in Athens, GA
• Providers in Athens, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.