Mary Hannah Benek, CNM MN
Individual provider Active NPI Advanced Practice Midwife · Waycross, GA
NPI 1689088874 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1689088874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- RN063022 (GA)
- Practice address
- 505 City Blvd
Waycross, GA 31501-8003 - Phone
- (912) 490-2229
- Fax
- (912) 490-9023
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.07 of 100
- Quality
- 81.4
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.99
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140922000601 | GA | Practitioner - Certified Nurse Midwife (CNM) | 9436378627 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN063022 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Regional Laboratories Pathology Services, LLC | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current |
Accepting new patients |
Locations
316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815
505 City Blvd
Waycross, GA 31501
Phone (912) 490-2229
1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690
Interoperability endpoints
- mary.benek@hca5.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN063022 | GA | Yes |
Addresses
Primary practice location
505 City Blvd
Waycross, GA 31501-8003
Mailing address
505 City Blvd
Waycross, GA 31501-8003
Phone (912) 490-2229
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MARY.BENEK@hca5.eclinicaldirectplus.com |
Other providers in Waycross, GA
- Larry L. Batten
- Beacon Pediatrics
- James Harworth Beale
- Eric Spires Belcher
- Alex T Bell
- Robert Worthington Bengels
- Clayton Lamar Bennett
- Hannah Christine Bennett
- Harrison Ty Bennett
- Kristie Bennett
All providers in Waycross, GA · Advanced Practice Midwife in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.