Active NPI
Alyssa Bantz Hindmon, CNM
- Midwife
- Atlanta, GA
National Provider Identifier
1417477472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN233925
- Practice address
- 4805 Tilly Mill Rd
Atlanta, GA 30360-1909 - Phone
- (470) 552-9009
- NPI assigned
- Jun 21, 2017
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | RN233925 | GA | Primary |
Addresses
Primary practice location
4805 Tilly Mill Rd
Atlanta, GA 30360-1909
Mailing address
3039 Scott Rd
Marietta, GA 30066-3701
Phone (772) 828-1647
Other names 1
- Ms. Alyssa Bantz
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)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN233925 | GA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1417477472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3039 SCOTT RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300663701",
"telephone_number": "772-828-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 TILLY MILL RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303601909",
"telephone_number": "470-552-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINDMON",
"first_name": "ALYSSA",
"middle_name": "BANTZ",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "GA",
"license": "RN233925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "BANTZ",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.