Michelle Blalock Edgeman, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

RN135120 Issued in GA

Practice address

1105 Burleyson Rd
Dalton, GA 30720-3181

Phone

(706) 278-4640

Fax

(706) 275-6599

NPI assigned

Nov 14, 2008

Last updated

Oct 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4044/brand/1/csg/1/fhir/r4
• Direct secure messaging: michelle.edgeman.1@4044.direct.athenahealth.com

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

• Associates in Obstetrics & Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Dalton, GA
  • NPI 1750482048
  NPD (past)

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1548414782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203181",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BURLEYSON RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203181",
            "telephone_number": "706-278-4640",
            "fax_number": "706-275-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGEMAN",
        "first_name": "MICHELLE",
        "middle_name": "BLALOCK",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN135120",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN135120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472966726A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earley Daze Anesthesia LLC
• Conrad Harlan Easley, MD
• Rachel Stuckey Easterwood, WHNP-BC
• Ecc Chatsworth Dalton MC, LLC
• Morgan Eddy, CRNA
• Sarah Edgeman, NP
• Kathleen Lane Edwards, MA, CCC-SLP
• Kellie Bramlett Edwards, RRT
• William Richard Edwards, M.D.
• Helen Eferakorho, RPH

• Advanced Practice Midwife in Dalton, GA
• Providers in Dalton, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.