Active NPI
Holliann Elizabeth Bolton, CNM
- Advanced Practice Midwife
- Fayetteville, GA
National Provider Identifier
1417874918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 1279 Highway 54 W Ste 220
Fayetteville, GA 30214-4552 - Phone
- (770) 991-2000
- NPI assigned
- Jul 4, 2026
- Last updated
- Jul 4, 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 | GA | Primary |
Addresses
Primary practice location
1279 Highway 54 W Ste 220
Fayetteville, GA 30214-4552
Mailing address
707 Ingram Rd
Barnesville, GA 30204-3618
Phone (770) 652-1060
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1417874918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 INGRAM RD",
"city": "BARNESVILLE",
"state": "GA",
"postal_code": "302043618",
"telephone_number": "770-652-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 HIGHWAY 54 W STE 220",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144552",
"telephone_number": "770-991-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "HOLLIANN",
"middle_name": "ELIZABETH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-04",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Board of Commissioners of Fayette County (Fayette County EMS)
- Body in Balance Chiropractic & Wellness Center, LLC
- Body Revolution Healthcare Consultants
- Body Therapy by George Massages LLC
- Camille Franncine Bolton, DPT
- Jazeel Rachel Bonner, BS, RBT
- Natalie Bernett Bonner, FNP
- Sheba M Bonner
- Loida E. Bonney, M.D.
- Benita L Bonser, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.