Healthcare Provider Details

I. General information

NPI: 1740198811
Provider Name (Legal Business Name): HERNEST MATERNAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 MCCLURE BRIDGE RD STE D401
DULUTH GA
30096-8708
US

IV. Provider business mailing address

3400 MCCLURE BRIDGE RD STE D401
DULUTH GA
30096-8708
US

V. Phone/Fax

Practice location:
  • Phone: 678-750-3121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LEEKIESHIA GRIMSLEY
Title or Position: NURSE PRACTITIONER/CO-FOUNDER
Credential: NP
Phone: 470-873-9555