Individual provider Active NPI

Katina Sherese Miles, N.P.

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1225119753
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN135225 Issued in GA
Practice address
506 Manchester Expy Ste B13
Columbus, GA 31904-6459
Phone
(706) 507-2222
Fax
(706) 507-2233
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 RN135225 GA Primary

Addresses

Primary practice location

506 Manchester Expy Ste B13
Columbus, GA 31904-6459

Mailing address

506 Manchester Expy Ste B13
Columbus, GA 31904-6459
Phone (706) 507-2222

Other practice location 1

7950 Martin Loop
Fort Benning, GA 31905-5648
Phone (706) 544-5176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN135225GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miles Management Group, Inc CurrentSince Mar 7, 2021 Accepting new patients

Locations

506 Manchester Expy
Ste B13
Columbus, GA 31904
Phone (706) 507-2222

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1225119753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MANCHESTER EXPY STE B13",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046459",
            "telephone_number": "706-507-2222",
            "fax_number": "706-507-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MANCHESTER EXPY STE B13",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046459",
            "telephone_number": "706-507-2222",
            "fax_number": "706-507-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7950 Martin Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055648",
            "country_code": "US",
            "telephone_number": "706-544-5176",
            "fax_number": "706-544-5202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "KATINA",
        "middle_name": "SHERESE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN135225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.