Active NPI
Diana Magaly Cedillo, CNM, MSN
- Advanced Practice Midwife
- Decatur, GA
National Provider Identifier
1497409247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- GAA-CNM000602
- Practice address
- 315 Winn Way
Decatur, GA 30030-2111 - Phone
- (404) 299-9724
- NPI assigned
- Feb 10, 2022
- 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 | GAA-CNM000602 | GA | Primary |
Addresses
Primary practice location
315 Winn Way
Decatur, GA 30030-2111
Mailing address
315 Winn Way
Decatur, GA 30030-2111
Phone (404) 299-9724
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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-CNM000602 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Perimeter Anesthesia LLC | Past | Accepting new patients | |
| Modern Obstetrics and Gynecology of North Atlanta PC | Past | Accepting new patients |
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.
-
- Obstetrics & Gynecology Physician
- Johns Creek, GA
- NPI 1669784252
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1457716516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1497409247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302111",
"telephone_number": "404-299-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 WINN WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302111",
"telephone_number": "404-299-9724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDILLO",
"first_name": "DIANA",
"middle_name": "MAGALY",
"credential": "CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-10",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "GAA-CNM000602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.