NPI age
1 years
Enumerated 2024-08-21
● Active
Type 1 · Individual
Amanda Puckett Blake, CNM
Blake is 1 of 1 midwife providers in Austell and 1 of 112 in Georgia.
Primary specialty
Midwife
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 112 active midwife providers in Georgia.
NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Practice location
1791 Mulkey Rd Ste 200
Austell, GA 301061124
Mailing address
42 Shoals Trl
Dallas, GA 301326045
Additional practice locations
1 secondary location on file with NPPES.
Location 2
120 Greystone Power Blvd
Dallas, GA 301578297
Specialties
-
Midwife PrimaryA Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.