Lora Marie Humphreys, CNM in Conyers, GA - Medicare Advanced Practice Midwife

Lora Marie Humphreys, CNM is a medicare enrolled "Advanced Practice Midwife" in Conyers, Georgia. Her current practice location is 3240 Avalon Blvd, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 860-1133.

Lora Marie Humphreys is licensed to practice in Georgia (license number RN258583) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790584209.

Contact Information

	Lora Marie Humphreys, CNM
	3240 Avalon Blvd, Conyers, GA 30013-6320
	(770) 860-1133
	(770) 860-1599

Map and Direction

Provider's Profile

Full Name	Lora Marie Humphreys
Gender	Female
Speciality	Advanced Practice Midwife
Location	3240 Avalon Blvd, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790584209
Provider Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025

Medicare PECOS Information:

PECOS PAC ID: 1456870112
Enrollment ID: I20250527000639

Medical Identifiers

Medical identifiers for Lora Marie Humphreys such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790584209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	RN258583 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lora Marie Humphreys allows following entities to bill medicare on her behalf.

Entity Name	Richard M Robinson Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790839157 PECOS PAC ID: 1153390497 Enrollment ID: O20041001001062

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lora Marie Humphreys is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lora Marie Humphreys, CNM 3240 Avalon Blvd, Conyers, GA 30013-6320 Ph: (770) 860-1133	Lora Marie Humphreys, CNM 3240 Avalon Blvd, Conyers, GA 30013-6320 Ph: (770) 860-1133

Reviews and Comments

Advanced Practice Midwife Nurses in Conyers, GA

Jennifer Gill Witmer, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3240 Avalon Blvd, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599
Erica Nembhard-samuels, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3240 Avalon Blvd, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599
Mary Elizabeth Koho, MSN, CNM, WHNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3240 Avalon Pkwy, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599
Mrs. Melissa D Aycox, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3240 Avalon Blvd, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599
Katey Alison Burroughs, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1415 Milstead Rd Ne, Conyers, GA 30012 Phone: 678-413-0858
Stephanie R Pittman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3240 Avalon Pkwy, Conyers, GA 30013 Phone: 770-860-1133 Fax: 770-860-1599

Lora Marie Humphreys, CNM - Medicare Advanced Practice Midwife in Conyers, GA