MEDICARE: KRYSTAL STEWART MPH, IBCLC

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	374J00000X	Doula		GA
2	174N00000X	Lactation Consultant (Non-RN)	L-319066	GA

General Provider Information

NPI Number	:	1306794748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL STEWART MPH, IBCLC

Provider Business Mailing Address
First Line	:	2129 LAKE PARK DR SE APT B
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7667
Country	:	US
Telephone Number	:	516-900-2966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2129 LAKE PARK DR SE APT B
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7667
Country	:	US
Telephone Number	:	516-900-2966
Fax Number	:

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

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

Similar Medicare Providers

1295616027 — ZACHARY WOODWORTH
Practice Location Address:

1155 CONCORD RD SE STE 220
SMYRNA, GA
30080-4255

Practice Phone: 470-666-2550
Practice Fax:

1831805274 — MRS. SHARMAINE K MERCER MSN, AGACNP, PMHNP
Practice Location Address:

3188 ATLANTA RD SE
SMYRNA, GA
30080-8256

Practice Phone: 404-787-4424
Practice Fax: 404-745-0389

1679952782 — ALEXANDRA BAXTER M.S.
Practice Location Address:

4045 ORCHARD RD SE STE 110
SMYRNA, GA
30080-4904

Practice Phone: 770-293-1950
Practice Fax:

1043805823 — STEPHANIE BEHNKE
Practice Location Address:

4250 CABRETTA DR SE
SMYRNA, GA
30080-6479

Practice Phone: 470-250-0046
Practice Fax: 470-933-4088

1174470793 — ANNA JIN APC
Practice Location Address:

1148 CONCORD RD SE
SMYRNA, GA
30080-4263

Practice Phone: 678-824-4882
Practice Fax:

1982550844 — AUDIOLOGY SERVICES COMPANY USA, LLC
Practice Location Address:

4585 S COBB DR SE STE 400
SMYRNA, GA
30080-6975

Practice Phone: 770-803-9909
Practice Fax:

Directions to “ KRYSTAL STEWART MPH, IBCLC” 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.