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
- 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 |
|---|---|---|---|
| CSP Anesthesia LLC | Current | Accepting new patients | |
| Mulkey Anesthesiology Associates LLC | Current | Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Perimeter Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Interventional Spine and Pain Management Ambulatory Surgical Center | Current | Accepting new patients | |
| Sleep Ezzy | Current | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | 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 |
Locations
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
3870 Medical Park Dr
Ste 100
Austell, GA 30106
3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778
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
Ste 1500
Conyers, GA 30012
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
5303 Adams St NE
Covington, GA 30014
Phone (404) 786-0643
505 Jenkins St
Lagrange, GA 30240
Phone (706) 407-0161
892 Legacy Park Dr
Lawrenceville, GA 30043
455 Philip Blvd
Ste 138
Lawrenceville, GA 30046
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
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648
403 Permian Way
Ste C
Villa Rica, GA 30180
Phone (404) 998-5537
403 Permian Way
Villa Rica, GA 30180
Phone (678) 840-4034
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Austell, GA
- NPI 1417288069
-
- 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.