Milton Medical Group, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

046324 Issued in GA

Legal business name

MILTON MEDICAL GROUP, LLC

Practice address

735 N Main St
1100
Alpharetta, GA 30009-2405

Phone

(678) 827-9157

Fax

(470) 299-6262

NPI assigned

Sep 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Savitha Shama, M.D.NPI 1447205240

Title

Owner

Phone

(678) 827-9157

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Savitha Shama, M.D.

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1447205240
  Medicare reassignment NPD Authorized official
• Jacent Barbara Nakigudde, FNP

  • Family Nurse Practitioner
  • Austell, GA
  • NPI 1902306780
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1043680341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 JONES BRIDGE RD",
            "address_2": "420-215",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228129",
            "telephone_number": "678-827-9157",
            "fax_number": "470-299-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N MAIN ST",
            "address_2": "1100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092405",
            "telephone_number": "678-827-9157",
            "fax_number": "470-299-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAMA",
        "authorized_official_first_name": "SAVITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-827-9157",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "046324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003173272A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Milton Hall Management, LLC
• Milton Hall Surgery Center
• Milton Hall Surgical Associates, LLC
• Milton Hall Surgical Associates, LLC
• Mind and Body Solutions, LLC
• Mindful Psychological Services
• Mindful Sport and Performance
• Nicholas Ming
• Minniti Dentistry, PC

• Primary Care Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.