Active NPI
Jill B Miles, LCSW
- Clinical Social Worker
- Carrollton, GA
National Provider Identifier
1194821280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW001171
- Practice address
- 153 Independence Dr
Carrollton, GA 30116-9000 - Phone
- (770) 836-6678
- Fax
- (770) 830-2266
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW001171 | GA | Primary |
Addresses
Primary practice location
153 Independence Dr
Carrollton, GA 30116-9000
Mailing address
122 Gordon Commercial Dr # C
Lagrange, GA 30240-5740
Phone (706) 845-4045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Center for Behavioral & Developmental Growth | Past | Accepting new patients | |
| Pathways Center for Behavioral and Developmental Growth | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1407492846
-
- Community/Behavioral Health Agency
- Newnan, GA
- NPI 1013289255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194821280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 GORDON COMMERCIAL DR # C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405740",
"telephone_number": "706-845-4045",
"fax_number": "706-845-4312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 INDEPENDENCE DR",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301169000",
"telephone_number": "770-836-6678",
"fax_number": "770-830-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JILL",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW001171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.