Healthcare Provider Details

I. General information

NPI: 1730859463
Provider Name (Legal Business Name): HANNAH MARIE MACZKA CNM, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 CLIFF VALLEY WAY NE
ATLANTA GA
30329-2421
US

IV. Provider business mailing address

3267 ARTESIA DR
CLARKSTON GA
30021-1005
US

V. Phone/Fax

Practice location:
  • Phone: 404-728-7900
  • Fax:
Mailing address:
  • Phone: 706-255-7407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN280023
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: