Individual provider Active NPI

Nicole Schwartz, IBCLC

  • Lactation Consultant (Non-RN)
  • Roswell, GA
National Provider Identifier
1770193310
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
LC000173 Issued in GA
Practice address
1241 Canton St Ste 100
Roswell, GA 30075-4397
Phone
(404) 482-2578
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X LC000173 GA Primary

Addresses

Primary practice location

1241 Canton St Ste 100
Roswell, GA 30075-4397

Mailing address

1241 Canton St Ste 100
Roswell, GA 30075-4397
Phone (404) 482-2578

Other practice location 1

2786 N Decatur Rd Ste 210
Decatur, GA 30033-5928
Phone (404) 482-2578

Other names 1

  • Nicole Neff Former name

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

State licenses

LicenseStateTypeSpecialty
LC000173GAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Birth Collective LLC Lactation Consultant, Non-RN CurrentSince Jan 1, 2021 Accepting new patients

Locations

2786 N Decatur Rd
Ste 210
Decatur, GA 30033
Phone (404) 482-2578

11050 Crabapple Rd
Ste C109A
Roswell, GA 30075

1241 Canton St
Ste 100
Roswell, GA 30075
Phone (404) 400-3332

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1770193310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 CANTON ST STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754397",
            "telephone_number": "404-482-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 CANTON ST STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754397",
            "telephone_number": "404-482-2578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2786 N Decatur Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300335928",
            "country_code": "US",
            "telephone_number": "404-482-2578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "NICOLE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "LC000173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NEFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 9, 2021; 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.