Active NPI
Niesha McClendon
- Doula
- Grovetown, GA
National Provider Identifier
1710615026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 936 Niagra FLS
Grovetown, GA 30813-5848 - Phone
- (662) 816-6690
- NPI assigned
- Aug 13, 2022
- Last updated
- Aug 13, 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 |
|---|---|---|---|---|
| Doula | 374J00000X | NU | Primary |
Addresses
Primary practice location
936 Niagra FLS
Grovetown, GA 30813-5848
Mailing address
936 Niagra FLS
Grovetown, GA 30813-5848
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mama's Labor of Love LLC | Doula | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Doula
- Augusta, GA
- NPI 1336006055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660348800000",
"number": "1710615026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 NIAGRA FLS",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308135848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 NIAGRA FLS",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308135848",
"telephone_number": "662-816-6690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLENDON",
"first_name": "NIESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-13",
"last_updated": "2022-08-13",
"certification_date": "2022-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.