Active NPI
Elizabeth Bernice Coleman, CNM
- Advanced Practice Midwife
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN-CNM176064
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 287-3815
- Fax
- (770) 287-9689
- NPI assigned
- Jun 20, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN-CNM176064 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN-NP17064 | GA |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other practice location 1
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 297-2200
Other practice location 2
1400 River Pl
Braselton, GA 30517-5600
Phone (770) 297-2200
Other practice location 3
141 Professional Dr
Baldwin, GA 30511-4000
Phone (706) 776-7470
Other practice location 4
1270 Friendship Rd
Braselton, GA 30517-5608
Phone (678) 207-4300
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003135123B | Medicaid | GA | |
| 904860 | Other | GA | WELLCARE |
| 003135123A | Medicaid | GA | |
| 003135123D | Medicaid | GA | |
| 003135123H | Medicaid | GA | |
| 003135123L | Medicaid | GA | |
| 003135123I | Medicaid | GA | |
| 01879953 | Other | GA | AMERIGROUP |
| 202I428873 | Other | GA | MEDICARE |
| 003135123K | Medicaid | GA | |
| 003135123M | Medicaid | GA | |
| 003135123C | Medicaid | GA | |
| 003135123J | Medicaid | GA |
Other names 1
- Elizabeth Bernice Stillman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP17064 | GA | MD | Family Nurse Practitioner |
| APRN-CNM176064 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic PC | Current | Accepting new patients | |
| The Longstreet Clinic, PC | Current | Accepting new patients |
Locations
141 Professional Dr
Baldwin, GA 30511
Phone (706) 776-2368
1270 Friendship Rd
Braselton, GA 30517
Phone (678) 207-4200
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
Interoperability endpoints
- elizabeth.stillman@longstreetclinic.gadirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1326019977
-
dba Longstreet of NGHS
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1881033124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-287-3815",
"fax_number": "770-287-9689"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 River Pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Professional Dr",
"address_purpose": "LOCATION",
"city": "Baldwin",
"state": "GA",
"postal_code": "305114000",
"country_code": "US",
"telephone_number": "706-776-7470",
"fax_number": "706-776-7472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Friendship Rd",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175608",
"country_code": "US",
"telephone_number": "678-207-4300",
"fax_number": "770-533-4773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "ELIZABETH",
"middle_name": "BERNICE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "APRN-CNM176064",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP17064",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "904860",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01879953",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "202I428873",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123M",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003135123J",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "STILLMAN",
"middle_name": "BERNICE",
"credential": "CNM, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.