Active NPI
Pamela G Miller, CRNA
- Certified Registered Nurse Anesthetist
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN161397 CRNA
- Practice address
- 1805 Vernon Rd
Suite C
Lagrange, GA 30240-3871 - Phone
- (706) 812-9902
- NPI assigned
- Apr 2, 2009
- Last updated
- Jun 14, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN161397 CRNA | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | TMP141143 | KS |
Addresses
Primary practice location
1805 Vernon Rd
Suite C
Lagrange, GA 30240-3871
Mailing address
138 Chandlers Run
Newnan, GA 30263-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical College of Georgia School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3870 Medical Park Dr
Suite 100
Austell, GA 30106-1110
Phone (770) 929-9033
505 Jenkins St
Lagrange, GA 30240-4225
Phone 88840802002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN161397 CRNA | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Ezzy | Current | Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mulkey Anesthesiology Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CSP Anesthesia LLC | Current | Accepting new patients | |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Perimeter Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Redmond Anesthesia Services LLC | Past | Accepting new patients | |
| Anesthesia Services of North Georgia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Consulting Services, PA | Past | Accepting new patients |
Locations
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649
3870 Medical Park Dr
Ste 100
Austell, GA 30106
1255 Friendship Rd
Ste 140
Braselton, GA 30517
3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570
777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930
1388 Wellbrook Cir NE
Conyers, GA 30012
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012
505 Jenkins St
Lagrange, GA 30240
Phone (706) 407-0161
455 Philip Blvd
Ste 138
Lawrenceville, GA 30046
892 Legacy Park Dr
Lawrenceville, GA 30043
939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (470) 827-3648
1400 Veterans Memorial Hwy SE
Ste 134
Mableton, GA 30126
Phone (404) 254-6696
5505 Roswell Rd
Ste 350B
Sandy Springs, GA 30342
403 Permian Way
Villa Rica, GA 30180
Phone (678) 840-4034
403 Permian Way
Ste C
Villa Rica, GA 30180
Phone (404) 998-5537
403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Canton, GA
- NPI 1922402445
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Canton, GA
- NPI 1568946812
-
- Pain Medicine (Anesthesiology) Physician
- Lawrenceville, GA
- NPI 1154852820
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1750420147
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1386216604
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rome, GA
- NPI 1063679231
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1265674402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 CHANDLERS RUN",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302636196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 VERNON RD",
"address_2": "SUITE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302403871",
"telephone_number": "706-812-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PAMELA",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN161397 CRNA",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "TMP141143",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.