Active NPI
Erica Nembhard-Samuels, CNM
- Advanced Practice Midwife
- Conyers, GA
National Provider Identifier
1316425259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 3240 Avalon Blvd
Conyers, GA 30013-6320 - Phone
- (770) 860-1133
- Fax
- (770) 860-1599
- NPI assigned
- Aug 2, 2018
- Last updated
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
3240 Avalon Blvd
Conyers, GA 30013-6320
Mailing address
3240 Avalon Blvd
Conyers, GA 30013-6320
Phone (770) 860-1133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1316425259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 AVALON BLVD",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136320",
"telephone_number": "770-860-1133",
"fax_number": "770-860-1599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 AVALON BLVD",
"city": "CONYERS",
"state": "GA",
"postal_code": "300136320",
"telephone_number": "770-860-1133",
"fax_number": "770-860-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMBHARD-SAMUELS",
"first_name": "ERICA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
- David Wade Neckman
- Tisharie Sydar Needham, NP
- Erica Nicole Neely, FNP-C
- Hyerim Nelson
- Karen Nelson
- New Avenues Assessment Counseling Center
- New Beginnings Comprehensive Women's Healthcare, PC
- New Beginnings Elevating Social Services Inc.
- New Heart Medical LLC (New Heart Medical)
- New Hope Counseling Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.