MEDICARE: MRS. AMANDA MARTIN SMITH MIDWIFE

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	176B00000X	Midwife

General Provider Information

NPI Number	:	1184355307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA MARTIN SMITH MIDWIFE

Provider Business Mailing Address
First Line	:	1301 WINDSOR DR
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-2852
Country	:	US
Telephone Number	:	601-818-6718
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 WINDSOR DR
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-2852
Country	:	US
Telephone Number	:	601-818-6718
Fax Number	:

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

Provider Enumeration Date	:	06/20/2022
Last Update Date	:	06/20/2022

Similar Medicare Providers

1396977070 — ESTINA M HOLDER LPC
Practice Location Address:

100 CHICKASAW DR
HATTIESBURG, MS
39401-2852

Practice Phone: 601-705-1901
Practice Fax:

1861349961 — JASMINE FORD
Practice Location Address:

32 MILLBRANCH RD STE 40
HATTIESBURG, MS
39402-1673

Practice Phone: 601-255-5264
Practice Fax:

1336371053 — DR. LEWIS A BULLOCK NCC
Practice Location Address:

15 PROFESSIONAL PKWY STE 100
HATTIESBURG, MS
39402-2647

Practice Phone: 601-768-7272
Practice Fax: 601-768-2429

1235087859 — DEBENIQUE CHANDLER- MCCRAY NP
Practice Location Address:

124 COASTAL OAK
HATTIESBURG, MS
39402-4470

Practice Phone: 601-818-0436
Practice Fax:

1346870219 — PRISCILLA HOGAN PA-C
Practice Location Address:

7127 U S HIGHWAY 98 STE 40
HATTIESBURG, MS
39402-7034

Practice Phone: 601-467-6555
Practice Fax:

1417805946 — SOUL CARE ENTERPRISES, INC.
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 601-781-1661
Practice Fax: 800-489-0211

Directions to “ MRS. AMANDA MARTIN SMITH MIDWIFE” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.