Active NPI
Jill M Ballew, CNM
- Advanced Practice Midwife
- Roswell, GA
National Provider Identifier
1710665195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN152705
- Practice address
- 1015 Mansell Rd
Roswell, GA 30076-1507 - Phone
- (608) 336-3363
- NPI assigned
- Jul 6, 2023
- 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 | RN152705 | GA | Primary |
Addresses
Primary practice location
1015 Mansell Rd
Roswell, GA 30076-1507
Mailing address
4524 Monet Dr
Roswell, GA 30075-3118
Phone (404) 934-9259
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN152705 | GA | MD | Advanced Practice Midwife |
Interoperability endpoints
- jill.ballew.1@19519.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760227200000",
"number": "1710665195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4524 MONET DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753118",
"telephone_number": "404-934-9259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MANSELL RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761507",
"telephone_number": "608-336-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLEW",
"first_name": "JILL",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2025-10-12",
"certification_date": "2025-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN152705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.