Individual provider Active NPI

Brittney Michelle Poff, IBCLC, CBD, CPD

  • Lactation Consultant (Non-RN)
  • Chatsworth, GA
National Provider Identifier
1417520610
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-303342 Issued in GA
Practice address
75 Willow Springs Rd
Chatsworth, GA 30705-7905
Phone
(706) 218-0476
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 144466BP GA
Lactation Consultant (Non-RN) 174N00000X L-303342 GA Primary

Addresses

Primary practice location

75 Willow Springs Rd
Chatsworth, GA 30705-7905

Mailing address

75 Willow Springs Rd
Chatsworth, GA 30705-7905
Phone (706) 218-0476

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

State licenses

LicenseStateTypeSpecialty
L-303342GAMDLactation Consultant (Non-RN)
144466BPGAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1417520610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WILLOW SPRINGS RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057905",
            "telephone_number": "706-218-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WILLOW SPRINGS RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057905",
            "telephone_number": "706-218-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "BRITTNEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "IBCLC, CBD, CPD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "GA",
            "license": "144466BP",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-303342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.