MICHELLE BLALOCK EDGEMAN (NPI# 1548414782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548414782 |
| Entity Type | Individual |
| Full Name | MICHELLE BLALOCK EDGEMAN |
| Credential | CNM |
| Practice Address |
1105 Burleyson Rd Dalton GA 30720-3181 |
| Practice Telephone | 7062784640 |
| Practice Fax Number | 7062756599 |
| Mailing Telephone | 7062784640 |
| Mailing Fax Number | 7062756599 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN135120 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | RN135120 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 472966726A | 05 |
| Street Address |
1105 BURLEYSON RD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-3181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588775605 | Rita-marie Davis | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2006-08-31 |
| 1255740650 | Jamie Lynn Gallagher | Nurse Practitioner | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2014-08-11 |
| 1235402710 | Nichole Nguyen | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720 | 2012-02-15 |
| 1134305204 | Angela S Wood | Obstetrics & Gynecology | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2008-01-18 |
| 1437363751 | Aog Aesthetics | Clinic/Center | 1105 Burleyson Rd, Suite 1, Dalton, GA 30720-3017 | 2007-05-09 |
| 1194861435 | Susan Cockburn | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| 1790822914 | Wanda Mcclellan | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| 1861538068 | Judy Martin | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-29 |
| 1457497570 | Joellen Wingate | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-29 |
| 1649371998 | Harvey Samuel Wages Jr. | Obstetrics & Gynecology | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2006-09-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588775605 | Rita-marie Davis | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3181 | 2006-08-31 |
| 1679119366 | Jennifer Nicole Romine | Advanced Practice Midwife | 1525 Chattanooga Rd, Dalton, GA 30720-8379 | 2019-11-18 |
| 1487037883 | Amy Elizabeth Van Orden | Advanced Practice Midwife | 1525 Chattanooga Rd, Dalton, GA 30720-8379 | 2015-07-02 |
| 1235402710 | Nichole Nguyen | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720 | 2012-02-15 |
| 1205025582 | Elizabeth Jean Day | Advanced Practice Midwife | 1525 Chattanooga Rd, Dalton, GA 30720-8379 | 2007-10-23 |
| 1194861435 | Susan Cockburn | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| 1790822914 | Wanda Mcclellan | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-30 |
| 1013053222 | Sanna Rose Wagner | Advanced Practice Midwife | 1525 Chattanooga Rd, Dalton, GA 30720-8379 | 2007-01-29 |
| 1861538068 | Judy Martin | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-29 |
| 1457497570 | Joellen Wingate | Advanced Practice Midwife | 1105 Burleyson Rd, Dalton, GA 30720-3017 | 2007-01-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.