Active NPI
Reagan Amanda Burge, CNM
- Advanced Practice Midwife
- Demorest, GA
National Provider Identifier
1790259125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN191135
- Practice address
- 870 Austin Dr Ste a
Demorest, GA 30535-4585 - Phone
- (706) 229-4233
- NPI assigned
- Jan 18, 2019
- Last updated
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN191135 | GA | Primary |
Addresses
Primary practice location
870 Austin Dr Ste a
Demorest, GA 30535-4585
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
115 Eagle Spring Dr Ste A200
Stockbridge, GA 30281-6486
Phone (770) 474-0064 ext. 108
Other names 1
- Mrs. Reagan Amanda Thomas
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Crescent Women's Health Specialists | Past | Accepting new patients |
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.
-
dba women's health specialists
- Obstetrics & Gynecology Physician
- Stockbridge, GA
- NPI 1437554847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1790259125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 AUSTIN DR STE A",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305354585",
"telephone_number": "706-229-4233"
}
],
"practiceLocations": [
{
"address_1": "115 Eagle Spring Dr Ste A200",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302816486",
"country_code": "US",
"telephone_number": "770-474-0064 x108",
"fax_number": "770-474-2998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGE",
"first_name": "REAGAN",
"middle_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN191135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REAGAN",
"last_name": "THOMAS",
"middle_name": "AMANDA",
"prefix": "MRS.",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Demorest, GA
- Emily Brock, DPT
- Donna Sue Brooks, M.ED., CF, SLP
- Ileynaret Michelle Brooks
- Lori Brown Pressley, PT, ATC
- James Lewis Brown Jr., M.D.
- Owen Curtis Byers, M.D.
- Caring Angels in Home Health Services
- Celina Dawn Carruth, CFNP
- Hallie Dawn Carter, NP
- Centerpoint Counseling & Clinical Services Inc (Jill Hughes, LCSW)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.