Chastaine Kendrick, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN063484 Issued in GA

Practice address

1791 Mulkey Rd
Suite 200
Austell, GA 30106-1124

Phone

(770) 732-5400

Fax

(770) 944-0327

NPI assigned

Feb 2, 2006

Last updated

Aug 19, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellstar Cardiovascular Medicine, LLC

  • Cardiovascular Disease Physician
  • Marietta, GA
  • NPI 1457320319
  NPD (past)
• Wellstar Health System, Inc.

  • Point of Service
  • Marietta, GA
  • NPI 1437219656

  Advanced Practice Midwife

  NPD (past)
• Wellstar Medical Group, LLC

  dba WellStar Cobb Gynecologists

  • Obstetrics & Gynecology Physician
  • Austell, GA
  • NPI 1013213651
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1053383364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 MULKEY RD",
            "address_2": "SUITE 200",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061124",
            "telephone_number": "770-732-5400",
            "fax_number": "770-944-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 MULKEY RD",
            "address_2": "SUITE 200",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061124",
            "telephone_number": "770-732-5400",
            "fax_number": "770-944-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "CHASTAINE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN063484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Karellas, PA
• Woderyelesh Kassa, M.D.
• Katie Clinics, Inc
• Kathleen Ann Keirn, PA-C
• Keith Braswell, LLC
• Stacy H. Kendrick, PA
• Kennestone Hospital, Inc (WellStar Pharmacy Network)
• Kennestone Hosptial, Inc. (WellStar Behavioral Health)
• Kevin Wayne Kersee Jr., D.C.
• Christine M Keyser, DMD

• Advanced Practice Midwife in Austell, GA
• Providers in Austell, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.