Individual provider Active NPI

Mary Nell Reeves, C.N.M.

  • Midwife
  • Lagrange, GA
National Provider Identifier
1962442095
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN042680 Issued in GA
Practice address
311 S Lewis St
Lagrange, GA 30240-3143
Phone
(706) 882-9940
Fax
(706) 882-9968
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN042680 GA Primary

Addresses

Primary practice location

311 S Lewis St
Lagrange, GA 30240-3143

Mailing address

311 S Lewis St
Lagrange, GA 30240-3143
Phone (706) 882-9940

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

Interoperability endpoints

  • Direct secure messaging: mary.reeves@westgahealth.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1962442095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403143",
            "telephone_number": "706-882-9940",
            "fax_number": "706-882-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S LEWIS ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302403143",
            "telephone_number": "706-882-9940",
            "fax_number": "706-882-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "MARY",
        "middle_name": "NELL",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN042680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.