Individual provider Active NPI

Angel Leeann Gilreath, CNM

  • Advanced Practice Midwife
  • Vidalia, GA
National Provider Identifier
1790336840
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN239124 Issued in GA
Practice address
Meadows Regional Medical Center
One Meadows Parkway
Vidalia, GA 30474-0979
Phone
(912) 535-5555
Fax
(912) 535-5457
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN239124 GA
Advanced Practice Midwife 367A00000X RN239124 GA Primary

Addresses

Primary practice location

Meadows Regional Medical Center
One Meadows Parkway
Vidalia, GA 30474-0979

Mailing address

1850 Old Louisville Rd
Soperton, GA 30457-9540
Phone (678) 943-3849

Other practice location 1

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 248-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191213000892 GA Practitioner - Certified Nurse Midwife (CNM) 7214360734 Reassigns benefits to 1 organization
I20240402004509 PA Practitioner - Certified Nurse Midwife (CNM) 7214360734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

101 Harris Industrial Blvd
Suite C
Vidalia, GA 30474-8852
Phone (912) 537-1014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN239124GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Multispecialty Associates, LLC CurrentSince May 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Apr 4, 2024 Accepting new patients
Geisinger Clinic CurrentSince Apr 4, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients

Locations

11 Johnson St
Hazlehurst, GA 31539
Phone (800) 367-0816

101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474

1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003

101 Harris Industrial Blvd
Vidalia, GA 30474
Phone (912) 277-2044

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

100 N Academy Ave
Danville, PA 17822

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: angel.gilreath@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1790336840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 OLD LOUISVILLE RD",
            "city": "SOPERTON",
            "state": "GA",
            "postal_code": "304579540",
            "telephone_number": "678-943-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEADOWS REGIONAL MEDICAL CENTER",
            "address_2": "ONE MEADOWS PARKWAY",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304740979",
            "telephone_number": "912-535-5555",
            "fax_number": "912-535-5457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170441167",
            "country_code": "US",
            "telephone_number": "717-248-5411",
            "fax_number": "717-242-4212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILREATH",
        "first_name": "ANGEL",
        "middle_name": "LEEANN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN239124",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN239124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.