Emily Mickelson, CNM

Individual provider Active NPI Advanced Practice Midwife · Cordele, GA

NPI 1316829948 · NPPES record last updated Oct 24, 2025

Key facts

NPI
1316829948
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
GAA-CNM003944 (GA)
Practice address
412 E 4TH Ave
Cordele, GA 31015-3619
Phone
(229) 273-1243
Fax
(229) 273-1247
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

804 E 16TH Ave
Cordele, GA 31015-1514

PO Box
Suite 5610
Cordele, GA 31010

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
GAA-CNM003944GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. Current
since Oct 30, 2025
Accepting new patients
Careconnect Health, Inc. Current
since Oct 30, 2025
Accepting new patients

Locations

412 E 4th Ave
Cordele, GA 31015
Phone (229) 273-1243

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X GAA-CNM003944 GA Yes

Addresses

Primary practice location

412 E 4TH Ave
Cordele, GA 31015-3619

Mailing address

412 E 4TH Ave
Cordele, GA 31015-3619
Phone (229) 273-1243

Other providers in Cordele, GA

All providers in Cordele, GA · Advanced Practice Midwife in Georgia

Sources for this page

Verify at the official NPI Registry.