MEDICARE: MS. CYNTHIA CAROL MACDONALD CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	41162	TN

General Provider Information

NPI Number	:	1013863786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA CAROL MACDONALD CNM

Provider Business Mailing Address
First Line	:	218 WILLIAMS ST
Second Line	:
City	:	CROSSETT
State	:	AR
Zip	:	71635-4122
Country	:	US
Telephone Number	:	870-634-4491
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 STEAM PLANT RD STE 270
Second Line	:
City	:	GALLATIN
State	:	TN
Zip	:	37066-3019
Country	:	US
Telephone Number	:	615-328-3390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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