Active NPI
Andrea M Hargraves, CNM
- Advanced Practice Midwife
- Thomasville, GA
National Provider Identifier
1932154176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN148927
- Practice address
- 916 S Broad St
Unit B-2
Thomasville, GA 31792-6113 - Phone
- (229) 226-8800
- Fax
- (229) 226-8232
- NPI assigned
- May 24, 2006
- 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 | RN148927 | GA | Primary |
Addresses
Primary practice location
916 S Broad St
Unit B-2
Thomasville, GA 31792-6113
Mailing address
PO Box 1479
Thomasville, GA 31799-1479
Phone (229) 226-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00867831C | Medicaid | GA | |
| 000867831F | Medicaid | GA | |
| 00867831A | Medicaid | GA |
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 |
|---|---|---|---|
| Shaw Center for Women'S Health | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Primary Care of Southwest Georgia, Inc | Past | Accepting new patients |
Locations
905 N Court St
Quitman, GA 31643
Phone (229) 263-8956
918 S Broad St
Thomasville, GA 31792
Phone (229) 226-8800
Interoperability endpoints
- andrea.hargraves@shawcenter.gadirect.net
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Thomasville, GA
- NPI 1427067057
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
-
- Federally Qualified Health Center (FQHC)
- Thomasville, GA
- NPI 1992102073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1932154176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1479",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317991479",
"telephone_number": "229-226-8800",
"fax_number": "229-226-8232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S BROAD ST",
"address_2": "UNIT B-2",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926113",
"telephone_number": "229-226-8800",
"fax_number": "229-226-8232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGRAVES",
"first_name": "ANDREA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN148927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00867831C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000867831F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00867831A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.