Active NPI
Jeneen A Lomax, CNM
- Advanced Practice Midwife
- Atlanta, GA
National Provider Identifier
1912234550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN264372
- Practice address
- 825 Beecher St SW Ste 115
Atlanta, GA 30310-2717 - Phone
- (404) 480-3177
- Fax
- (470) 250-2401
- NPI assigned
- Nov 3, 2009
- 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 | RN264372 | GA | Primary |
| Advanced Practice Midwife | 367A00000X | 209007737 | IL |
Addresses
Primary practice location
825 Beecher St SW Ste 115
Atlanta, GA 30310-2717
Mailing address
1018 Regal Hills LN
Mableton, GA 30126-7265
Phone (312) 451-7546
Other practice location 1
901 E Sibley Blvd
South Holland, IL 60473-1166
Phone (773) 233-4100
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN264372 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sistah Space Women'S Wellness Center, LLC | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Tyrone, GA
- NPI 1184283848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1912234550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 REGAL HILLS LN",
"city": "MABLETON",
"state": "GA",
"postal_code": "301267265",
"telephone_number": "312-451-7546",
"fax_number": "470-250-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 BEECHER ST SW STE 115",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303102717",
"telephone_number": "404-480-3177",
"fax_number": "470-250-2401"
}
],
"practiceLocations": [
{
"address_1": "901 E Sibley Blvd",
"address_purpose": "LOCATION",
"city": "South Holland",
"state": "IL",
"postal_code": "604731166",
"country_code": "US",
"telephone_number": "773-233-4100",
"fax_number": "773-233-4055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOMAX",
"first_name": "JENEEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN264372",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209007737",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.