Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144053596 Individual Practitioner Female Practitioner

Amanda Puckett Blake , CNM

Midwife • Austell, GA

Professional Overview & Biography Verified Profile Summary

Amanda Blake, CNM is a registered healthcare professional specializing in Midwife in Austell, GA. Practice services are available at 1791 MULKEY RD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1791 Mulkey Rd Ste 200

Austell, GA 301061124

Telephone 7707325400
Associated Practice Facility / Clinic
🏢 Cobb Gynecologist 2 Llc Facility NPI 1538369970

Specialty Benchmarks & Practice Insights

Comparative analytics for Midwife in Austell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Austell, GA (110 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-21
Midwife Primary Specialty

NUCC Taxonomy Code: 176B00000X

State License GA RN173764

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Secondary Practice Locations

120 Greystone Power Blvd

Dallas, GA 301578297

Phone: 6789458345

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Kristen Fields

Advanced Practice Midwife

NPI 1023714797
Dr. Vidya Soundararajan , MD

Obstetrics & Gynecology

NPI 1053305631

Doctor of Medicine (M.D.)

Chastaine Kendrick , CNM

Advanced Practice Midwife

NPI 1053383364

Certified Nurse Midwife

Dr. Usha Desai , MD

Obstetrics & Gynecology

NPI 1265404560

Doctor of Medicine (M.D.)

Dr. Rene Morell , MD

Obstetrics & Gynecology

NPI 1386616688

Doctor of Medicine (M.D.)

Dr. Yoon Jeong Chang , MD

Obstetrics & Gynecology

NPI 1386859163

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2024

Registered at 1791 MULKEY RD STE 200, AUSTELL, GA 301061124 (Tel: 7707325400)

📍
Updated Business Mailing Address August 21, 2024

Registered at 42 SHOALS TRL, DALLAS, GA 301326045 (Tel: 4042750054)

👤
Provider Name / Credentials Updated August 21, 2024

Recorded as AMANDA BLAKE, CNM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Midwife (License #RN173764 in GA)

🟢
Initial NPI Registration & Enumeration August 21, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144053596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2024
Last Update: August 21, 2024
Sole Proprietor: No

Mailing Address

42 Shoals Trl

Dallas, GA 301326045

Phone: 4042750054

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.