Active NPI
Lacey Gentry, CNM291392
- Advanced Practice Midwife
- Sandy Springs, GA
National Provider Identifier
1740022474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN291392
- Practice address
- 1000 Johnson Ferry Rd
Sandy Springs, GA 30342-1606 - Phone
- (404) 851-1000
- NPI assigned
- Jun 12, 2024
- Last updated
- Jul 23, 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 | RN291392 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Sandy Springs, GA 30342-1606
Mailing address
5112 Acworth Landing Dr
Acworth, GA 30101-5347
Phone (678) 389-0166
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291392 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1740022474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 ACWORTH LANDING DR",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015347",
"telephone_number": "678-389-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "LACEY",
"credential": "CNM291392",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN291392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.