Individual provider Active NPI

Micah Miranda Hilyer, NP

  • Family Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1124678628
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN251611 Issued in GA
Practice address
3840 Gault Ave N
Fort Payne, AL 35967-5211
Phone
(256) 844-4975
Fax
(256) 844-4978
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN251611 GA Primary

Addresses

Primary practice location

3840 Gault Ave N
Fort Payne, AL 35967-5211

Mailing address

309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313

Other practice location 1

200 Medical Center Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

Other practice location 2

60 Main St N
Section, AL 35771-7168
Phone (256) 228-3471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123001508 AL Practitioner - Nurse Practitioner 5991130890 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Eufaula, LLCGroup PAC ID 0840677456, 7 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians
Fort Payne Urgent Care LLCGroup PAC ID 3476933219, 3 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr SW
Fort Payne, AL 35968-3458
Phone (256) 845-3150

2605 Gault Ave N
Suite 200
Fort Payne, AL 35967-3700
Phone (256) 979-1990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN251611GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Alabama-TCG, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Fort Payne Urgent Care, LLC Family CurrentSince Jul 1, 2023 Accepting new patients
Ess of Eufaula, LLC CurrentSince Apr 3, 2024 Accepting new patients
Newgen Alabama Billing LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2605 Gault Ave N
Ste 200
Fort Payne, AL 35967
Phone (256) 979-1990

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25908/brand/1/csg/1/fhir/r4
  • Direct secure messaging: micah.hilyer.1@25908.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1124678628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359675211",
            "telephone_number": "256-844-4975",
            "fax_number": "256-844-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Center Dr SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683458",
            "country_code": "US",
            "telephone_number": "256-845-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Main St N",
            "address_purpose": "LOCATION",
            "city": "Section",
            "state": "AL",
            "postal_code": "357717168",
            "country_code": "US",
            "telephone_number": "256-228-3471",
            "fax_number": "256-228-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILYER",
        "first_name": "MICAH",
        "middle_name": "MIRANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN251611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.