Individual provider Active NPI

Christa Cicora, CNM

  • Advanced Practice Midwife
  • Columbus, GA
National Provider Identifier
1962007476
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN236361 Issued in GA
Practice address
1900 10TH Ave Ste 300
Columbus, GA 31901-3606
Phone
(706) 341-3311
Fax
(706) 257-1719
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 RN236361 GA Primary

Addresses

Primary practice location

1900 10TH Ave Ste 300
Columbus, GA 31901-3606

Mailing address

1900 10TH Ave Ste 300
Columbus, GA 31901-3606
Phone (706) 341-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210113000643 GA Practitioner - Certified Nurse Midwife (CNM) 9133532153 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Women'S Care of Columbus, P.C. CurrentSince Oct 9, 2020 Accepting new patients

Locations

1900 10th Ave
Ste 300
Columbus, GA 31901
Phone (706) 341-3311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1962007476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE STE 300",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013606",
            "telephone_number": "706-341-3311",
            "fax_number": "706-257-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH AVE STE 300",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013606",
            "telephone_number": "706-341-3311",
            "fax_number": "706-257-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICORA",
        "first_name": "CHRISTA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN236361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.