Dacula Midwifery Services LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

License

RN185722 Issued in GA

Legal business name

DACULA MIDWIFERY SERVICES LLC

Practice address

2879 Heritage Oaks Cir
Dacula, GA 30019-7082

Phone

(678) 630-2669

Fax

(470) 201-1179

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Antoinette Lee-Gregory, CNM

Title

Certified Nurse Midwife

Phone

(470) 228-0842

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1922471366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 HERITAGE OAKS CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197082",
            "telephone_number": "678-630-2669",
            "fax_number": "470-201-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 HERITAGE OAKS CIR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197082",
            "telephone_number": "678-630-2669",
            "fax_number": "470-201-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACULA MIDWIFERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "LEE-GREGORY",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "470-228-0842",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "GA",
            "license": "RN185722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Birthing Clinic/Center in Dacula, GA
• Providers in Dacula, GA by specialty
• Birthing Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.