Milestones Pediatric Clinic, LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

MILESTONES PEDIATRIC CLINIC, LLC

Practice address

224 S Church St Ste B
Brookhaven, MS 39601-3232

Phone

(601) 990-4028

NPI assigned

Jun 17, 2020

Last updated

Jan 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Hatcher Hickman, CPNPNPI 1861808974

Title

Owner

Phone

(601) 990-4028

Specialties & licenses 1

Addresses

Other identifiers 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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21777/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Hickman, CPNP

  • Pediatric Nurse Practitioner
  • Brookhaven, MS
  • NPI 1861808974

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1114543980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S CHURCH ST STE B",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013232",
            "telephone_number": "601-990-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S CHURCH ST STE B",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013232",
            "telephone_number": "601-990-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "HATCHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-990-4028",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008700082",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mending Pieces, LLC
• William H Meyer, MD
• Jeffrey J Michel, CRNA
• Mid South Home Care, LLC
• Mid-Delta Hospice South, Inc. (Bristol Hospice - Brookhaven)
• Christina Ruth Miller, NP
• Richard Eric Miller, M.D.
• Christi Evans Mills, P.T.
• Stephen J Mills, M.D.
• Mississippi Adolescent Center

• Pediatric Nurse Practitioner in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.