MEDICARE: JULIE A CHARLTON 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	RN099786	GA

General Provider Information

NPI Number	:	1588699334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE A CHARLTON CNM

Provider Business Mailing Address
First Line	:	116 WOODHAVEN LN
Second Line	:
City	:	BALL GROUND
State	:	GA
Zip	:	30107-3106
Country	:	US
Telephone Number	:	972-215-9440
Fax Number	:

Provider Business Practice Location Address
First Line	:	960 JOHNSON FY RD NE STE 210
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1601
Country	:	US
Telephone Number	:	404-847-1592
Fax Number	:	678-805-2248

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/17/2025

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