CMS-1500 Box 24J / 33a • NPI
1467499095
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367A00000X (CMS 42)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse
Box 32 Service Location & ZIP+4
2009 OLD LAFAYETTE RD, FT OGLETHORPE, GA, 30742-3510
✓ 9-Digit EDI 837 ZIP+4 (30742-3510)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1467499095 (ANNA M CLINE, CNM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1467499095 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | ANNA M CLINE, CNM |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: 367A00000X (Advanced Practice Midwife) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2009 OLD LAFAYETTE RD, FT OGLETHORPE, GA, 30742-3510 |
| Practice Telephone / Fax | Tel: (706) 861-5950 | Fax: (706) 858-0475 |
| Administrative Mailing Address | 2009 OLD LAFAYETTE ROAD, FORT OGLETHORPE, GA, 30742-3510 |
| Enumeration & Last Sync | Enumerated: 2006-06-01 | CMS Record Updated: 2012-03-02 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367A00000X)
What Does Taxonomy Code 367A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ANNA M CLINE, CNM)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367A00000X — Advanced Practice MidwifePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse | State: GA | License: R050561 | Primary: Yes (Primary) |
367A00000X — Advanced Practice MidwifePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse | State: TN | License: RN088929 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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