Joanne Altringer, CNM

Individual provider Active NPI Advanced Practice Midwife · Saint Marys, GA

NPI 1972664670 · NPPES record last updated Mar 18, 2009

Key facts

NPI
1972664670
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
RN131761 (GA)
Practice address
202 Lakeshore Drive
Suite a
Saint Marys, GA 31558
Phone
(912) 673-1771
Fax
(912) 673-1811
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN131761GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN131761 GA Yes

Addresses

Primary practice location

202 Lakeshore Drive
Suite a
Saint Marys, GA 31558

Mailing address

202 Lakeshore Dr Ste a
Saint Marys, GA 31558-3809
Phone (912) 673-1771

Other identifiers

IdentifierTypeStateIssuer
000733466EMedicaidGA

Other providers in Saint Marys, GA

All providers in Saint Marys, GA · Advanced Practice Midwife in Georgia

Sources for this page

Verify at the official NPI Registry.