Healthcare Provider Details

I. General information

NPI: 1407959869
Provider Name (Legal Business Name): YOLANDA RENITA GAINES-CRAWFORD CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 GLENLAKE PKWY DEPARTMENT OF OBSTETRICS & GYNECOLOGY
ATLANTA GA
30328-3473
US

IV. Provider business mailing address

3495 PIEDMONT RD NE NINE PIEDMONT CENTER
ATLANTA GA
30305-1717
US

V. Phone/Fax

Practice location:
  • Phone: 770-677-6049
  • Fax: 770-677-7331
Mailing address:
  • Phone: 404-364-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN126965
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: