Individual provider Active NPI

Emily Grace Lineberger, CNM, WHNP

  • Advanced Practice Midwife
  • Bolivia, NC
National Provider Identifier
1205692365
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
909 Issued in NC
Practice address
584 Hospital Dr
Suite B
Bolivia, NC 28422
Phone
(630) 740-6161
NPI assigned
Feb 26, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 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 909 NC Primary

Addresses

Primary practice location

584 Hospital Dr
Suite B
Bolivia, NC 28422

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

584 Hospital Dr NE Unit B
Bolivia, NC 28422-0020
Phone (910) 721-4050

Other names 1

  • Miss Emily Grace Schmid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240605000966 NC Practitioner - Certified Nurse Midwife (CNM) 3375085426 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
909NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 3, 2024 Accepting new patients
Novant Health Medical Group LLC CurrentSince May 3, 2024 Accepting new patients

Locations

584 Hospital Dr NE
Unit B
Bolivia, NC 28422
Phone (910) 662-9480

75 Emerson Bay Rd
Ste 104
Carolina Shores, NC 28467
Phone (910) 667-3000

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: elineberger1348896@direct.novanthealth.org

Organizations & group practices 3

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1205692365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 HOSPITAL DR",
            "address_2": "SUITE B",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "28422",
            "telephone_number": "630-740-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Hospital Dr NE Unit B",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220020",
            "country_code": "US",
            "telephone_number": "910-721-4050",
            "fax_number": "910-721-4051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINEBERGER",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "CNM, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SCHMID",
            "middle_name": "GRACE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.