Individual provider Active NPI

Elizabeth Madeleine Hartman, CNM-BC, DNP

  • Advanced Practice Midwife
  • Conway, SC
National Provider Identifier
1144053612
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
29478 Issued in SC
Practice address
2376 Cypress Cir
Ste 200
Conway, SC 29526-8994
Phone
(843) 347-7216
Fax
(843) 347-7218
NPI assigned
Aug 21, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 29478 SC Primary

Addresses

Primary practice location

2376 Cypress Cir
Ste 200
Conway, SC 29526-8994

Mailing address

300 Singleton Ridge Rd
Attn Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-7216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217003034 SC Practitioner - Certified Nurse Midwife (CNM) 0244767119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
29478SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1144053612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTN CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 CYPRESS CIR",
            "address_2": "STE 200",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268994",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Highway 707",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-347-7216",
            "fax_number": "843-347-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "ELIZABETH",
        "middle_name": "MADELEINE",
        "credential": "CNM-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "29478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.