Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Puckett Blake, CNM

Individual provider Midwife · NPI 1144053596

Amanda Puckett Blake, CNM is a Midwife in Austell, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

1791 Mulkey Rd Ste 200
Austell, GA 30106-1124
Phone: (770) 732-5400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Greystone Power Blvd, Dallas, GA 30157-8297 — (678) 945-8345

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence RN173764 (GA)

Record details

NPI number1144053596
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024