Individual provider Active NPI

Andrea M Hargraves, CNM

  • Advanced Practice Midwife
  • Thomasville, GA
National Provider Identifier
1932154176
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN148927 Issued in GA
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

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00867831CMedicaidGA
000867831FMedicaidGA
00867831AMedicaidGA

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

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.