Gregory A Mickles

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3029 Martin Luther King Jr Ave SE
Washington, DC 20032-2506

Phone

(202) 232-6100

Fax

(202) 610-9507

NPI assigned

Jul 26, 2023

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1093496804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 HUNTER PLACE SOUTHEAST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "120-271-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 MARTIN LUTHER KING JR AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322506",
            "telephone_number": "202-232-6100",
            "fax_number": "202-610-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLES",
        "first_name": "GREGORY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Micker, PNP
• Robert W Mickey, MD
• Clinzo P. Mickle II, M.D.
• Nina Killie Mickle, MS, RD
• James Joseph Mickler, MD
• Mid Atlantic Medicine LLC
• Mid Atlantic Optical Supplies and Consultants LLC (District Eye Associates)
• Mid-Atlantic Heart LLC
• Mid-Atlantic Podiatry Associates
• Valerie Middlebrooks, LICSW

• Case Manager/Care Coordinator in Washington, DC
• Providers in Washington, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.