Ramona J Goetz, CNM
Individual provider Active NPI Midwife · Lawrenceville, GA
NPI 1801933742 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801933742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- RN026703 (GA)
- Practice address
- 761 Old Norcross Rd
Lawrenceville, GA 30045-4317 - Phone
- (770) 513-4000
- Fax
- (770) 995-3495
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN026703 | GA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | RN026703 | GA | Yes |
Addresses
Primary practice location
761 Old Norcross Rd
Lawrenceville, GA 30045-4317
Mailing address
761 Old Norcross Rd
Lawrenceville, GA 30045-4317
Phone (770) 513-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00603138A | Other | GA | WELLCARE |
| 00603138A | Medicaid | GA |
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.