Individual provider Active NPI

Makayla Nicole Hardeman, WHNP-BC, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
National Provider Identifier
1891426656
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN274807 Issued in GA
Practice address
3455 Peachtree Rd NE Ste 500
Atlanta, GA 30326-3236
Phone
(914) 919-9200
Fax
(833) 913-2393
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN274807 GA Primary
Women's Health Nurse Practitioner 363LW0102X RN274807 GA

Addresses

Primary practice location

3455 Peachtree Rd NE Ste 500
Atlanta, GA 30326-3236

Mailing address

206 Fairview Park Dr
Dublin, GA 31021-2547
Phone (478) 246-4304

Other practice location 1

1400 Broadfield Blvd Ste 200
Houston, TX 77084-5162
Phone (914) 919-9200

Other practice location 2

30 Broad St Fl 41
New York, NY 10004-2935
Phone (914) 919-9200

Other practice location 3

227 Industrial Blvd
Dublin, GA 31021-2969
Phone (478) 275-1304

Other practice location 4

4625 Lindell Blvd Fl 2
Saint Louis, MO 63108-3739
Phone (914) 919-9200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000394 GA Practitioner - Certified Nurse Midwife (CNM) 5597148734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence OBGYN LLCGroup PAC ID 7719360536, 4 clinicians

Practice addresses (Care Compare)

104 Fairview Park Dr
Suite 300
Dublin, GA 31021-2567
Phone (478) 246-4304

206 Fairview Park Dr
Dublin, GA 31021-2547
Phone (478) 246-4304

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN274807GAMDAdvanced Practice Midwife

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1891426656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FAIRVIEW PARK DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212547",
            "telephone_number": "478-246-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE RD NE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263236",
            "telephone_number": "914-919-9200",
            "fax_number": "833-913-2393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Broadfield Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770845162",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "fax_number": "833-913-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Broad St Fl 41",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042935",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "fax_number": "833-913-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212969",
            "country_code": "US",
            "telephone_number": "478-275-1304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4625 Lindell Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631083739",
            "country_code": "US",
            "telephone_number": "914-919-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDEMAN",
        "first_name": "MAKAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN274807",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN274807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.