JILL M ANTISELL CNM
NPI 1013061043
Midwife in Atlanta, GA

Active since January 23, 2007PECOS Enrolled
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308(404) 872-3121(404) 872-3119 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jill M Antisell Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL M ANTISELL CNM (NPI 1013061043) is an individual midwife in Atlanta, Georgia, licensed in Georgia (RN164801) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1013061043
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameJILL M ANTISELLCredential: CNM
Location Address550 PEACHTREE ST NE STE 1275Atlanta, GA 30308-2240
Mailing Address3495 Piedmont Road, Ne, Nine Piedmont CenterAtlanta, GA 30305 · (404) 364-7070 · Fax (470) 325-0193
Fax(404) 872-3119
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1013061043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in GA · RN164801
Definition
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.
550 PEACHTREE ST NE STE 1275, Atlanta, GA 30308

Other Names 1

Former Name (1)Jill M Antisell Cnm

Secondary Practice Location 1

Location 13650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Comprehensive Medical CenterDuluth, GA 30096 · Phone (770) 931-6012 · Fax (678) 377-5284

Other Identifiers 3

Other285718185AGA · Wellcare
Medicaid285718185AGA
Other285718185AGA · Peach State

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jill M Antisell Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Physician Assistant (Medical)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Nurse Practitioner (Family)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Nurse Practitioner (Women's Health)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Nurse Practitioner (Women's Health)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Nurse Practitioner
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308
Nurse Practitioner (Women's Health)
550 PEACHTREE ST NE STE 1275
ATLANTA, GA 30308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Antisell's NPI number?

The NPI number for Jill Antisell is 1013061043. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Jill M Antisell Cnm.

Where is Jill Antisell located?

Jill Antisell practices at 550 Peachtree St NE Ste 1275, Atlanta, GA 30308. The listed phone number is (404) 872-3121.

What is Jill Antisell's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Jill Antisell enrolled in Medicare?

Yes. Jill Antisell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jill Antisell was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.