Active NPI
Michelle Jennifer Bergman, IBCLC
- Lactation Consultant (Non-RN)
- Waynesville, GA
National Provider Identifier
1912489337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- LC000118
- Practice address
- 2941 Mineral Springs Rd
Waynesville, GA 31566-4141 - Phone
- (732) 207-8681
- NPI assigned
- Sep 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | LC000118 | GA | Primary |
Addresses
Primary practice location
2941 Mineral Springs Rd
Waynesville, GA 31566-4141
Mailing address
2941 Mineral Springs Rd
Waynesville, GA 31566-4141
Phone (732) 207-8681
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC000118 | GA | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeroflow Connect LLC | Lactation Consultant, Non-RN | 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.
-
- Lactation Consultant (Non-RN)
- Asheville, NC
- NPI 1790306819
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1912489337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2941 MINERAL SPRINGS RD",
"city": "WAYNESVILLE",
"state": "GA",
"postal_code": "315664141",
"telephone_number": "732-207-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2941 MINERAL SPRINGS RD",
"city": "WAYNESVILLE",
"state": "GA",
"postal_code": "315664141",
"telephone_number": "732-207-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "MICHELLE",
"middle_name": "JENNIFER",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-01",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "LC000118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.