MARY T DAZEY (NPI# 1871679571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871679571 |
| Entity Type | Individual |
| Full Name | MARY T DAZEY |
| Credential | CNM |
| Practice Address |
220 Northside Drive Valdosta GA 31602 |
| Practice Telephone | 2292412800 |
| Practice Fax Number | 2292410454 |
| Mailing Telephone | 2292412800 |
| Mailing Fax Number | 2292410454 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | R079997 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00534465D | 05 |
| Street Address |
220 NORTHSIDE DRIVE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326048 | Gina S Dungan | Nurse Practitioner | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1740366442 | Pamela H Temples | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1447336185 | Alexander M Culbreth IIi | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1255417994 | Joe C Clifton | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1437235199 | Sara N Yarbrough | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1851477558 | Frank Q Smith | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1750467452 | Paula L Bennett | Nurse Practitioner | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1699851337 | Bolan P Woodward | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1417033168 | Roy E Swindle Jr. | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1790861441 | Thomas H Moseley Jr. | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508238064 | Serendipity Midwifery, LLC | Advanced Practice Midwife | 1011 Williams St, Valdosta, GA 31601-4038 | 2015-10-23 |
| 1679778419 | Stacey C Reid | Advanced Practice Midwife | 220 Northside Dr, Valdosta, GA 31602-1858 | 2007-06-20 |
| 1023235132 | Genevieve E. Delk | Advanced Practice Midwife | 2601 Bemiss Rd, Suite A, Valdosta, GA 31602-1445 | 2007-04-19 |
| 1841341500 | Teresa W Johnson | Advanced Practice Midwife | 220 Northside Dr, Valdosta, GA 31602-1858 | 2007-01-16 |
| 1417033119 | Vickie D Hankla | Advanced Practice Midwife | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1235215930 | Deborah Crews | Advanced Practice Midwife | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352530 | Grace Midwifery & Women's Health | Advanced Practice Midwife | 4056 Wetherburn Way Ste 200, Peachtree Corners, GA 30092-1881 | 2020-09-30 |
| 1235766205 | Janet Simone Parks | Advanced Practice Midwife | 340 Boulevard Ne Ste 103, Atlanta, GA 30312-1278 | 2020-03-26 |
| 1215576632 | Angela Wilder Huber | Advanced Practice Midwife | 917 W Gordon St Ste A, Thomaston, GA 30286-3427 | 2020-01-02 |
| 1205472313 | Stephanie Lagoldia Cox | Advanced Practice Midwife | 5395 Jimmy Carter Blvd Ste 500, Norcross, GA 30093-1502 | 2019-11-24 |
| 1679047005 | Laura J Wallace | Advanced Practice Midwife | 115 Eagle Spring Dr Ste A200, Stockbridge, GA 30281-6486 | 2019-01-18 |
| 1740774470 | Linda Gail Legault | Advanced Practice Midwife | 2135 Independence Ln, Buford, GA 30519-8068 | 2018-06-16 |
| 1053812362 | Jacqueline Clubine | Advanced Practice Midwife | 285 Boulevard Ne Ste 520, Atlanta, GA 30312-4211 | 2018-02-22 |
| 1740793652 | Kwajalein Rontoya Cleveland | Advanced Practice Midwife | 550 Peachtree St Ne Ste 1165, Atlanta, GA 30308-2235 | 2017-11-14 |
| 1457716805 | Amanda Banks Thomas | Advanced Practice Midwife | 803 13th Avenue, Albany, GA 31701 | 2015-12-29 |
| 1003280215 | Vanessa Treaster | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290-2178 | 2015-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.