Marjorie Yvette Elibert, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN184038 Issued in GA

Practice address

190 Handley Rd Ste a
Tyrone, GA 30290

Phone

(770) 997-5714

Fax

(770) 997-5828

NPI assigned

Oct 20, 2017

Last updated

Jan 10, 2022By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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.

• Southern Crescent Women's Healthcare PC

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1427061589
  NPD (past)
• Women's Community Care, PC

  • Gynecology Physician
  • Fayetteville, GA
  • NPI 1417167446
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1134630858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HANDLEY RD STE A",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902178",
            "telephone_number": "770-997-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HANDLEY RD STE A",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "30290",
            "telephone_number": "770-997-5714",
            "fax_number": "770-997-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1279 Highway 54 W Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144552",
            "country_code": "US",
            "telephone_number": "770-991-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1279 Highway 54 W Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144552",
            "country_code": "US",
            "telephone_number": "770-991-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIBERT",
        "first_name": "MARJORIE",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "GA",
            "license": "RN184038",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN184038",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN184038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134630858",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Cary Dunson, DDS
• Durden Chiropractic Clinic, Inc.
• Marilyn L Durden, D.C.
• Katherine Edelstein, CNM
• Danielle Edwards
• Envision Nutrition Inc.
• Epiphany Healthcare System, Inc (Accessible Health Care of South Atlanta)
• Esther Angels Homecare and Assisted Living Services
• Exelle Home Care
• Family Health & Wellness Group LLC

• Advanced Practice Midwife in Tyrone, GA
• Providers in Tyrone, 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 Jan 10, 2022; 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.