Individual provider Active NPI

Jamie Walker Milby, P.A.-C

  • Medical Physician Assistant
  • Paducah, KY
National Provider Identifier
1265464580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 252 Issued in KY
Practice address
2620 Perkins Creek Dr
Paducah, KY 42001-7494
Phone
(270) 444-8465
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 252 KY Primary

Addresses

Primary practice location

2620 Perkins Creek Dr
Paducah, KY 42001-7494

Mailing address

111 Reidland Dr
Paducah, KY 42003-1140
Phone (270) 898-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110404000034 KY Order and Referring Only - Physician Assistant 0547444382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA 252KYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265464580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 REIDLAND DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420031140",
            "telephone_number": "270-898-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 PERKINS CREEK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017494",
            "telephone_number": "270-444-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBY",
        "first_name": "JAMIE",
        "middle_name": "WALKER",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA 252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.